Provider Demographics
NPI:1629729231
Name:HAMILTION, PATRICIA MEYER (TCADC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MEYER
Last Name:HAMILTION
Suffix:
Gender:F
Credentials:TCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 LEAWOOD DR STE C
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-7776
Mailing Address - Country:US
Mailing Address - Phone:502-385-0861
Mailing Address - Fax:
Practice Address - Street 1:915 LEAWOOD DR STE C
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-7776
Practice Address - Country:US
Practice Address - Phone:502-385-0861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)