Provider Demographics
NPI:1912157736
Name:HAMPTON, ADRIANA I (MFT 50036)
Entity Type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:I
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:MFT 50036
Other - Prefix:MISS
Other - First Name:ADRIANA
Other - Middle Name:
Other - Last Name:HERRARTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 2078
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-6156
Mailing Address - Country:US
Mailing Address - Phone:940-539-0683
Mailing Address - Fax:940-228-0651
Practice Address - Street 1:1602 W BUSINESS 380 STE 100
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3267
Practice Address - Country:US
Practice Address - Phone:940-539-0683
Practice Address - Fax:940-225-8065
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14414101YA0400X
TX202434101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202434OtherMARRIAGE FAMILY THERAPIST