Provider Demographics
NPI:1669417069
Name:HINSHAW, TRICIA CAGLE (LPC)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:CAGLE
Last Name:HINSHAW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:CAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:839 WILKESBORO BLVD NE
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-4612
Mailing Address - Country:US
Mailing Address - Phone:828-759-2228
Mailing Address - Fax:828-759-0159
Practice Address - Street 1:1340 PATTON AVE STE H
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2623
Practice Address - Country:US
Practice Address - Phone:828-225-4980
Practice Address - Fax:828-225-4822
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4068101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102945Medicaid