Provider Demographics
NPI:1780184788
Name:HAMILTON, AZIZI JOHARI (LCMHC)
Entity type:Individual
Prefix:MS
First Name:AZIZI
Middle Name:JOHARI
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 SCOTLAND DR
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-1676
Mailing Address - Country:US
Mailing Address - Phone:910-850-1172
Mailing Address - Fax:
Practice Address - Street 1:164 SCOTLAND DR
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-1676
Practice Address - Country:US
Practice Address - Phone:910-850-1172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13732101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health