Provider Demographics
NPI:1598460461
Name:HAMILTON, TAMIE LEE (MSW)
Entity Type:Individual
Prefix:
First Name:TAMIE
Middle Name:LEE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MEADOW DR APT 3
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-2906
Mailing Address - Country:US
Mailing Address - Phone:845-505-4917
Mailing Address - Fax:
Practice Address - Street 1:9 MEADOW DR APT 3
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-2906
Practice Address - Country:US
Practice Address - Phone:845-505-4917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health