Provider Demographics
NPI:1922526904
Name:HINTON, MARY ELIZABETH (MS, LCMHC, QS)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:HINTON
Suffix:
Gender:F
Credentials:MS, LCMHC, QS
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:ELIZABETH
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCMHC, QS
Mailing Address - Street 1:PO BOX 702
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27528-0702
Mailing Address - Country:US
Mailing Address - Phone:919-244-2852
Mailing Address - Fax:681-227-1636
Practice Address - Street 1:46 SOAPBERRY CT
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-5733
Practice Address - Country:US
Practice Address - Phone:919-798-3835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCQS141610101YM0800X
NC13576101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional