Healthcare Provider Details

I. General information

NPI: 1487762191
Provider Name (Legal Business Name): JOHN H HAMLETT LPC LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 N PARHAM RD STE 5
RICHMOND VA
23229-3171
US

IV. Provider business mailing address

2301 N PARHAM RD STE 5
RICHMOND VA
23229-3171
US

V. Phone/Fax

Practice location:
  • Phone: 804-270-1124
  • Fax: 804-270-2090
Mailing address:
  • Phone: 804-270-1124
  • Fax: 804-270-2090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000333
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0701001985
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: