Provider Demographics
NPI:1376711341
Name:HAMILL, PAULA H (LMHC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:H
Last Name:HAMILL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:H
Other - Last Name:PEARCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2440 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4531
Mailing Address - Country:US
Mailing Address - Phone:772-834-2148
Mailing Address - Fax:
Practice Address - Street 1:2440 FEDERAL HIGHWAY
Practice Address - Street 2:SUITE 705
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-834-2148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health