| Doctor Name: | DR. BRAD HINMAN |
| NPI Number: | 1780951343 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, NCC, LLMFT |
| License Number: | 6401011370 |
| Business Practice Address: | 107 W Ferry St Berrien Springs, MI - 491031177 |
| Business Phone Number: | 2694715968 |
| Business Fax Number: | |
| Mailing Address: | 107 W Ferry St, BERRIEN SPRINGS |
| State: | MI |
| Postal Code: | 491031177 |
| Phone Number: | 2694715968 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 09/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401011370 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |