Provider Demographics
NPI:1124402995
Name:HINDS, DAISHA (MED)
Entity type:Individual
Prefix:
First Name:DAISHA
Middle Name:
Last Name:HINDS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 STOCKTON ST
Mailing Address - Street 2:UNIT 93
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2232
Mailing Address - Country:US
Mailing Address - Phone:347-652-3050
Mailing Address - Fax:
Practice Address - Street 1:100 STOCKTON ST
Practice Address - Street 2:UNIT 93
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2232
Practice Address - Country:US
Practice Address - Phone:347-652-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-11
Last Update Date:2015-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor