Provider Demographics
NPI:1063836344
Name:HINOTE, BENJAMIN (MS, LPC, NCC, CPCS)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:
Last Name:HINOTE
Suffix:
Gender:M
Credentials:MS, LPC, NCC, CPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 PONDER PLACE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-3119
Mailing Address - Country:US
Mailing Address - Phone:706-471-0603
Mailing Address - Fax:706-480-6617
Practice Address - Street 1:622 PONDER PLACE DR STE 2
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3119
Practice Address - Country:US
Practice Address - Phone:706-471-0603
Practice Address - Fax:706-480-6617
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-07
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008643101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional