Provider Demographics
NPI:1588971386
Name:HINES, HOLLI ELAINE (LPC, MHSP)
Entity type:Individual
Prefix:MS
First Name:HOLLI
Middle Name:ELAINE
Last Name:HINES
Suffix:
Gender:F
Credentials:LPC, MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 GLENDALE LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4113
Mailing Address - Country:US
Mailing Address - Phone:615-298-5573
Mailing Address - Fax:
Practice Address - Street 1:1120 GLENDALE LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-4113
Practice Address - Country:US
Practice Address - Phone:615-298-5573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health