Provider Demographics
NPI:1003353293
Name:HAMILTON, COURTNEY (PLPC)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-9470
Mailing Address - Country:US
Mailing Address - Phone:913-909-7621
Mailing Address - Fax:
Practice Address - Street 1:1353 LAKE SHORE DR
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-9470
Practice Address - Country:US
Practice Address - Phone:913-909-7621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health