Provider Demographics
NPI:1154138550
Name:HUTCHINGS, ALWYNE OLLESNOR III (LMFT)
Entity type:Individual
Prefix:MR
First Name:ALWYNE
Middle Name:OLLESNOR
Last Name:HUTCHINGS
Suffix:III
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4402 RIVERCHASE DR APT 3102
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-7545
Mailing Address - Country:US
Mailing Address - Phone:301-395-3738
Mailing Address - Fax:
Practice Address - Street 1:2022 15TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1699
Practice Address - Country:US
Practice Address - Phone:706-649-6507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT002162106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist