Healthcare Provider Details

I. General information

NPI: 1427547751
Provider Name (Legal Business Name): MICHELLE M HAMILTON LPC, NCC, BC-TMH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE M TREPANIER

II. Dates (important events)

Enumeration Date: 05/02/2018
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 COBBLESTONE CT STE 5
MADISON MS
39110-9119
US

IV. Provider business mailing address

513 COBBLESTONE CT STE 5
MADISON MS
39110-9119
US

V. Phone/Fax

Practice location:
  • Phone: 601-668-3738
  • Fax:
Mailing address:
  • Phone: 601-668-3738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2249
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: