Provider Demographics
NPI:1013696921
Name:HAMPTON, MALEENA
Entity type:Individual
Prefix:MRS
First Name:MALEENA
Middle Name:
Last Name:HAMPTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 BRAMBER DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3352
Mailing Address - Country:US
Mailing Address - Phone:660-620-0301
Mailing Address - Fax:
Practice Address - Street 1:128 BRAMBER DRIVE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3352
Practice Address - Country:US
Practice Address - Phone:660-620-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator