MEDICARE: HEATHER HELEN HAMILTON MHC-LP

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	101YM0800X	Mental Health Counselor	014496	NY

General Provider Information

NPI Number	:	1841060753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER HELEN HAMILTON MHC-LP

Provider Business Mailing Address
First Line	:	336 SAINT MARKS AVE # 1B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-3604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 BROADWAY STE 1168
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10004-1326
Country	:	US
Telephone Number	:	212-320-2216
Fax Number	:

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

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	12/18/2025

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