Provider Demographics
NPI:1841666021
Name:HINSHAW, EMILY I
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HINSHAW
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 22ND AVE. NORTH
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37202-1949
Mailing Address - Country:US
Mailing Address - Phone:615-251-8805
Mailing Address - Fax:615-251-8868
Practice Address - Street 1:402 22ND AVE. NORTH
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37202-1949
Practice Address - Country:US
Practice Address - Phone:615-251-8805
Practice Address - Fax:615-251-8868
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20246324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility