| Doctor Name: | SHERRI HINES |
| NPI Number: | 1699035105 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS., LPC |
| License Number: | 66414 |
| Business Practice Address: | 304 Sw 10th St. Premont, TX - 783750887 |
| Business Phone Number: | 3618776162 |
| Business Fax Number: | 3613482433 |
| Mailing Address: | Po Box 887, 304 Sw 10th St. PREMONT |
| State: | TX |
| Postal Code: | 783750887 |
| Phone Number: | 3618776162 |
| Fax Number: | 3613482433 |
| NPI Enumeration Date: | 05/18/2012 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 66414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |