| Doctor Name: | MRS. CARLA HINES |
| NPI Number: | 1073920690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6801078644 |
| Business Practice Address: | 33450 Hiveley St Westland, MI - 481864845 |
| Business Phone Number: | 7347880344 |
| Business Fax Number: | 7345780195 |
| Mailing Address: | 33450 Hiveley St, WESTLAND |
| State: | MI |
| Postal Code: | 481864845 |
| Phone Number: | 7347880344 |
| Fax Number: | 7345780195 |
| NPI Enumeration Date: | 07/15/2014 |
| NPI Last Update Date: | 07/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801078644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |