Hamilton, Mindy L
Hamilton, Mindy L is an sole proprietor health care provider with primary practice located at 6652 U S Highway 98 Ste 3 , Hattiesburg MS 39402-9649. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hamilton, Mindy L can be contacted via phone (601) 466-0462.Contact Information
Primary practice address
6652 U S Highway 98 Ste 3
Hattiesburg MS 39402-9649
Phone: (601) 466-0462
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C6325 | Mississippi |
Profile Details
| NPI number | 1225014400 |
|---|---|
| LBN Legal business name | Hamilton, Mindy L |
| Credentials | MSW, LCSW, RPT-S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Oct 1st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225014400 | NPPES |
| Mississippi | MEDICAID | 00122160 |
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