Provider Demographics
NPI:1174654594
Name:HINKLE, CHARLES HAMPTON (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:HAMPTON
Last Name:HINKLE
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5727 MURRAYHILL RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-2416
Mailing Address - Country:US
Mailing Address - Phone:704-525-4139
Mailing Address - Fax:
Practice Address - Street 1:116 SOUTH PROVIDENCE STREET
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173
Practice Address - Country:US
Practice Address - Phone:704-843-4818
Practice Address - Fax:704-843-5111
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6472101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health