Doctor Name: | MR. CHARLES HAMPTON HINKLE |
NPI Number: | 1174654594 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., L.P.C. |
License Number: | 6472 |
Business Practice Address: | 116 South Providence Street Waxhaw, NC - 28173 |
Business Phone Number: | 7048434818 |
Business Fax Number: | 7048435111 |
Mailing Address: | 5727 Murrayhill Rd, CHARLOTTE |
State: | NC |
Postal Code: | 282102416 |
Phone Number: | 7045254139 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |