Provider Demographics
NPI:1013268952
Name:HAMLET, MARY LYNNETTE (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LYNNETTE
Last Name:HAMLET
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:LYNNETTE
Other - Last Name:MORLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:775 CLARERIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-2670
Mailing Address - Country:US
Mailing Address - Phone:937-620-1292
Mailing Address - Fax:
Practice Address - Street 1:7799 JOAN DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3682
Practice Address - Country:US
Practice Address - Phone:513-318-1634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-01
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0800380101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional