Provider Demographics
NPI:1164167011
Name:HAMILTON, ALEXIS PAIGE (BA, HS)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:PAIGE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:BA, HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 TULANE AVE # 3303-3
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-7139
Mailing Address - Country:US
Mailing Address - Phone:504-302-1323
Mailing Address - Fax:
Practice Address - Street 1:3321 TULANE AVE # 3303-3
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7139
Practice Address - Country:US
Practice Address - Phone:504-302-1323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician