Healthcare Provider Details

I. General information

NPI: 1205746468
Provider Name (Legal Business Name): DEBRA HAMILTON CLS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 DIVISION ST
TOLEDO OH
43604-8400
US

IV. Provider business mailing address

1330 N BERKEY SOUTHERN RD
SWANTON OH
43558-8912
US

V. Phone/Fax

Practice location:
  • Phone: 419-460-8921
  • Fax:
Mailing address:
  • Phone: 567-249-8292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number260913
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: