Healthcare Provider Details

I. General information

NPI: 1710496732
Provider Name (Legal Business Name): CYNTHIA ELIZABETH HAMILL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 EST 51ST STE 315
TULSA OK
74135
US

IV. Provider business mailing address

12005 E 470 RD
CLAREMORE OK
74017-3737
US

V. Phone/Fax

Practice location:
  • Phone: 918-812-5402
  • Fax: 918-342-0087
Mailing address:
  • Phone: 918-342-0770
  • Fax: 918-342-0087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6324
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: