Healthcare Provider Details

I. General information

NPI: 1891340220
Provider Name (Legal Business Name): LAUREN M HAMRICK QMHS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2019
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 W MAIN ST STE 107
LANCASTER OH
43130-3799
US

IV. Provider business mailing address

3012 GLENMORE AVE
CINCINNATI OH
45238-2269
US

V. Phone/Fax

Practice location:
  • Phone: 937-418-2661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: