Provider Demographics
NPI:1073928123
Name:HAMILTON, KAREN (MHPP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20400 COL. GLENN RD.
Mailing Address - Street 2:YOUTH HOME, INC.
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210
Mailing Address - Country:US
Mailing Address - Phone:501-821-5500
Mailing Address - Fax:479-271-6307
Practice Address - Street 1:20400 COL GLENN RD.
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210
Practice Address - Country:US
Practice Address - Phone:501-821-5500
Practice Address - Fax:870-367-2145
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor