Provider Demographics
NPI:1427547751
Name:HAMILTON, MICHELLE M (LPC, NCC, BC-TMH)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:M
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LPC, NCC, BC-TMH
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:M
Other - Last Name:TREPANIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 W WASHINGTON ST # 16
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2434
Mailing Address - Country:US
Mailing Address - Phone:601-668-3738
Mailing Address - Fax:
Practice Address - Street 1:101 W WASHINGTON ST STE C5
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2436
Practice Address - Country:US
Practice Address - Phone:601-668-3738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2249101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional