Provider Demographics
NPI:1851803092
Name:HAMLIN, TEENA (BCMT)
Entity Type:Individual
Prefix:
First Name:TEENA
Middle Name:
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:BCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 HOLLINGSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-3918
Mailing Address - Country:US
Mailing Address - Phone:804-332-2097
Mailing Address - Fax:
Practice Address - Street 1:1916 HOLLINGSWORTH DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-3918
Practice Address - Country:US
Practice Address - Phone:804-332-2097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health