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General NPI Number Information
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NPI Number | 1497276893
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Entity Type | Organization
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Legal Business Name | HAMILTON COUNSELING
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 12717 S 28TH AVE
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City | BELLEVUE
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State | NE
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Zip | 68123-3232
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Country | US
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Telephone | 402-639-0435
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 GREGG RD APT 4
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City | BELLEVUE
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State | NE
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Zip | 68123-4098
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESA LEIGH HAMILTON
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Credential | LMHP, LADC
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Telephone | 402-639-0435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 2503
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 2503
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | 610
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 610
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License Number State | NE
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