Provider Demographics
NPI:1619269776
Name:HAMILLA, YSHHEYNA (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:YSHHEYNA
Middle Name:
Last Name:HAMILLA
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1760
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32727-1760
Mailing Address - Country:US
Mailing Address - Phone:352-357-5284
Mailing Address - Fax:352-357-5176
Practice Address - Street 1:36207 N COUNTY ROAD 44A
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32736-9758
Practice Address - Country:US
Practice Address - Phone:352-357-5284
Practice Address - Fax:352-357-5176
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health