Provider Demographics
NPI:1174932545
Name:HINSON, TANYA (MS)
Entity type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:
Last Name:HINSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 DUKE LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2216
Mailing Address - Country:US
Mailing Address - Phone:409-771-2184
Mailing Address - Fax:281-333-5260
Practice Address - Street 1:549 N EGRET BAY BLVD
Practice Address - Street 2:SUITE #300
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3236
Practice Address - Country:US
Practice Address - Phone:281-317-7326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-10
Last Update Date:2014-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional