Provider Demographics
NPI:1215908280
Name:HINSON, TERRAH PAULINE (LPC)
Entity type:Individual
Prefix:MRS
First Name:TERRAH
Middle Name:PAULINE
Last Name:HINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TERRAH
Other - Middle Name:PAULINE
Other - Last Name:HINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1114 TANGLE LN
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9141
Mailing Address - Country:US
Mailing Address - Phone:336-883-0275
Mailing Address - Fax:336-889-7005
Practice Address - Street 1:1114 TANGLE LN
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9141
Practice Address - Country:US
Practice Address - Phone:336-883-0275
Practice Address - Fax:336-889-7005
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-30
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2616101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1018ROtherBCBSOFNC
NC6102083Medicaid
NC102883858OtherUNITED BEHAVIOR HEALTH
NC6005841Medicaid