Provider Demographics
NPI:1629222914
Name:HAMLIN, NANCY CLOUD (LPC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:CLOUD
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 NAVAJO TRL
Mailing Address - Street 2:
Mailing Address - City:LONOKE
Mailing Address - State:AR
Mailing Address - Zip Code:72086-8003
Mailing Address - Country:US
Mailing Address - Phone:501-676-6166
Mailing Address - Fax:501-676-6174
Practice Address - Street 1:1500 NAVAJO TRL
Practice Address - Street 2:
Practice Address - City:LONOKE
Practice Address - State:AR
Practice Address - Zip Code:72086-8003
Practice Address - Country:US
Practice Address - Phone:501-676-6166
Practice Address - Fax:501-676-6174
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0702008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional