Provider Demographics
NPI:1659688422
Name:HAMPTON, OYA WESTON (PH D, LPC)
Entity Type:Individual
Prefix:MRS
First Name:OYA
Middle Name:WESTON
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:PH D, LPC
Other - Prefix:MRS
Other - First Name:OYA
Other - Middle Name:WESTON
Other - Last Name:STATEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PH D, LPC
Mailing Address - Street 1:4820A POPLAR SPG DR # 112
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-2624
Mailing Address - Country:US
Mailing Address - Phone:601-462-7902
Mailing Address - Fax:601-581-7676
Practice Address - Street 1:9056B COLLINSVILLE RD
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:MS
Practice Address - Zip Code:39325-9100
Practice Address - Country:US
Practice Address - Phone:601-462-7906
Practice Address - Fax:601-581-7676
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0911101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional