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NPI 1427547751

NPI 1427547751 : MICHELLE M HAMILTON LPC, NCC, BC-TMH : RIDGELAND, MS

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General NPI Number Information
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    NPI Number           |    1427547751
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE M HAMILTON LPC, NCC, BC-TMH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/02/2018
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    Last Update Date     |    02/14/2024
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Provider Practice Location Address
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    Address Line         |    101 W WASHINGTON ST STE C5 
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    City                 |    RIDGELAND
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    State                |    MS
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    Zip                  |    39157-2436
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    Country              |    US
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    Telephone            |    601-668-3738
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 W WASHINGTON ST # 16 
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    City                 |    RIDGELAND
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    State                |    MS
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    Zip                  |    39157-2434
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    Country              |    US
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    Telephone            |    601-668-3738
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    2249
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    License Number State |    MS
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