Healthcare Provider Details

I. General information

NPI: 1326556457
Provider Name (Legal Business Name): ALLEXIA HAMILTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3018 OLD MINDEN RD STE 1117
BOSSIER CITY LA
71112-2497
US

IV. Provider business mailing address

3018 OLD MINDEN RD STE 1117
BOSSIER CITY LA
71112-2497
US

V. Phone/Fax

Practice location:
  • Phone: 318-746-1935
  • Fax:
Mailing address:
  • Phone: 318-746-1935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9563
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: