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NPI Code Detail

MEDICARE: MS. ADRIANA I HAMPTON MFT 50036

MEDICARE: MS. ADRIANA I HAMPTON MFT 50036
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
1101YA0400XAddiction (Substance Use Disorder) Counselor14414TX
2101YM0800XMental Health Counselor202434TX
3106H00000XMarriage & Family Therapist202434TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1202434OTHERTXMARRIAGE FAMILY THERAPIST

General Provider Information

NPI Number : 1912157736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADRIANA I HAMPTON MFT 50036
Provider Business Mailing Address
First Line : PO BOX 2078
Second Line :
City : DECATUR
State : TX
Zip : 76234-6156
Country : US
Telephone Number : 940-539-0683
Fax Number : 940-228-0651
Provider Business Practice Location Address
First Line : 1602 W BUSINESS 380 STE 100
Second Line :
City : DECATUR
State : TX
Zip : 76234-3267
Country : US
Telephone Number : 940-539-0683
Fax Number : 940-225-8065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 01/24/2023

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Directions to “ MS. ADRIANA I HAMPTON MFT 50036” Practice Location

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