MEDICARE: MS. MICHELLE M HAMILTON LPC, NCC, BC-TMH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2249	MS

General Provider Information

NPI Number	:	1427547751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE M HAMILTON LPC, NCC, BC-TMH

Provider Business Mailing Address
First Line	:	101 W WASHINGTON ST # 16
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-2434
Country	:	US
Telephone Number	:	601-668-3738
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 W WASHINGTON ST STE C5
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-2436
Country	:	US
Telephone Number	:	601-668-3738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2018
Last Update Date	:	02/14/2024

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