Provider Demographics
NPI:1699555839
Name:HINSON, KIELA LEE (MS)
Entity type:Individual
Prefix:MS
First Name:KIELA
Middle Name:LEE
Last Name:HINSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:KIELA
Other - Middle Name:LEE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1862 MEMORIAL DR APT B
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-6352
Mailing Address - Country:US
Mailing Address - Phone:931-436-4840
Mailing Address - Fax:
Practice Address - Street 1:223 DUNBAR CAVE RD STE A
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-8831
Practice Address - Country:US
Practice Address - Phone:931-436-4840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor