Doctor Name: | MS. LYNN MARIEL HAMILTON |
NPI Number: | 1104096403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LMHC |
License Number: | MH 9241 |
Business Practice Address: | 2620 Wilmette Ave Titusville, FL - 327805135 |
Business Phone Number: | 3212985817 |
Business Fax Number: | |
Mailing Address: | Po Box 2216, TITUSVILLE |
State: | FL |
Postal Code: | 327812216 |
Phone Number: | 3212985817 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 9241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |