Provider Demographics
NPI:1710009238
Name:REDMAN-HAMILTON, LANITA NADINE (CAS)
Entity Type:Individual
Prefix:MRS
First Name:LANITA
Middle Name:NADINE
Last Name:REDMAN-HAMILTON
Suffix:
Gender:F
Credentials:CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8917 S 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305-2813
Mailing Address - Country:US
Mailing Address - Phone:323-750-0288
Mailing Address - Fax:323-750-0277
Practice Address - Street 1:5260 S FIGUEROA ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-3743
Practice Address - Country:US
Practice Address - Phone:323-233-3888
Practice Address - Fax:323-233-3779
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01-045144101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)