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NPI Code Detail

MEDICARE: STEPHANIE HAMILTON

MEDICARE: STEPHANIE HAMILTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1013532563
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE HAMILTON
Provider Business Mailing Address
First Line : 1310 W MAIN ST STE 201
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72801-2803
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 814 HIGDON FERRY RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-6128
Country : US
Telephone Number : 501-397-1495
Fax Number : 501-397-1495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2020
Last Update Date : 05/30/2025

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Directions to “ STEPHANIE HAMILTON ” Practice Location

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