Healthcare Provider Details

I. General information

NPI: 1245915610
Provider Name (Legal Business Name): WHITNEY HAMILTON MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WHITNEY BEELAND

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 LEXINGTON RD STE A
ATHENS GA
30605-2330
US

IV. Provider business mailing address

1720 LEXINGTON RD STE A
ATHENS GA
30605-2330
US

V. Phone/Fax

Practice location:
  • Phone: 706-543-3522
  • Fax: 706-543-3523
Mailing address:
  • Phone: 706-543-3522
  • Fax: 706-543-3523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC017146
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: