Individual
GREGORY KYLE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
7165 CLEARVISTA PARKWAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
Mailing address
8180 CLEARVISTA PARKWAY, SUITE 230 ATTN SHERRY MUELLER, INDIANAPOLIS, IN 46256-4649
(317) 621-7561
(317) 621-7470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001994A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042460A
—
IN
Enumeration date
11/07/2006
Last updated
09/01/2009
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