Provider Demographics
NPI:1679863740
Name:HAMILTON, MARLEEN PULLIZA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:MARLEEN
Middle Name:PULLIZA
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 CURVING OAKS WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32820-2747
Mailing Address - Country:US
Mailing Address - Phone:407-607-9883
Mailing Address - Fax:
Practice Address - Street 1:3011 CURVING OAKS WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32820-2747
Practice Address - Country:US
Practice Address - Phone:407-607-9883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor