Provider Demographics
NPI:1053543686
Name:HINTON, P DAWN (LPCC)
Entity type:Individual
Prefix:MRS
First Name:P DAWN
Middle Name:
Last Name:HINTON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 HOUSTON RD
Mailing Address - Street 2:BUILDING 200, SUITE 15
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-4873
Mailing Address - Country:US
Mailing Address - Phone:859-653-7963
Mailing Address - Fax:859-746-1496
Practice Address - Street 1:7000 HOUSTON RD
Practice Address - Street 2:BUILDING 200, SUITE 15
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-4873
Practice Address - Country:US
Practice Address - Phone:859-653-7963
Practice Address - Fax:859-746-1496
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-15
Last Update Date:2009-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1105101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional