MEDICARE: TEREVA HAMLETT

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
1	101YM0800X	Mental Health Counselor	0704018639	VA

General Provider Information

NPI Number	:	1407784234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEREVA HAMLETT

Provider Business Mailing Address
First Line	:	2424 GARFIELD AVE
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24501-6423
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 SIMONS RUN
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-8911
Country	:	US
Telephone Number	:	434-610-9128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ TEREVA HAMLETT ” Practice Location

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