Provider Demographics
NPI:1760692008
Name:L. HAMILTON MFT, INC.
Entity Type:Organization
Organization Name:L. HAMILTON MFT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:949-707-1613
Mailing Address - Street 1:23441 S POINTE DR
Mailing Address - Street 2:180
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1549
Mailing Address - Country:US
Mailing Address - Phone:949-707-1613
Mailing Address - Fax:949-452-0296
Practice Address - Street 1:23441 S POINTE DR
Practice Address - Street 2:180
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1549
Practice Address - Country:US
Practice Address - Phone:949-707-1613
Practice Address - Fax:949-452-0296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC19466106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty