Provider Demographics
NPI:1760530042
Name:HAMILTON, ANN MARIA (LMHP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIA
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4535 NORMAL BLVD
Mailing Address - Street 2:STE. 212
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5576
Mailing Address - Country:US
Mailing Address - Phone:402-730-8100
Mailing Address - Fax:402-434-9299
Practice Address - Street 1:4535 NORMAL BLVD
Practice Address - Street 2:STE. 212
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5576
Practice Address - Country:US
Practice Address - Phone:402-730-8100
Practice Address - Fax:402-434-9299
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100249816-00Medicaid