Provider Demographics
NPI:1588464135
Name:HINTON, SANDRA MERIEN
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:MERIEN
Last Name:HINTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 GRANDY AVENUE
Mailing Address - Street 2:APT C
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509
Mailing Address - Country:US
Mailing Address - Phone:862-888-0899
Mailing Address - Fax:862-888-0899
Practice Address - Street 1:223 E CITY HALL AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1724
Practice Address - Country:US
Practice Address - Phone:757-447-0871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014625101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional