Provider Demographics
NPI:1437573730
Name:HAMRICK, ERIC (MA, LPC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:HAMRICK
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 WALL ST
Mailing Address - Street 2:SUITE 16C
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-3545
Mailing Address - Country:US
Mailing Address - Phone:636-328-6543
Mailing Address - Fax:636-757-3944
Practice Address - Street 1:1550 WALL ST
Practice Address - Street 2:SUITE 16C
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-3545
Practice Address - Country:US
Practice Address - Phone:636-328-6543
Practice Address - Fax:636-757-3944
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014000736101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional