MEDICARE: LAURISSA LYNN MALLOZZI HAMPTON LPC

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

General Provider Information

NPI Number	:	1730427162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURISSA LYNN MALLOZZI HAMPTON LPC

Provider Business Mailing Address
First Line	:	309 SYCAMORE AVE
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-1124
Country	:	US
Telephone Number	:	347-274-5830
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 NORTH RD
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-7184
Country	:	US
Telephone Number	:	347-274-5830
Fax Number	:

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

Provider Enumeration Date	:	01/18/2013
Last Update Date	:	02/17/2026

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