Individual provider · Type 1 NPI

Addie Hampton, CASAC LMHC CRC LPN

Mental Health Counselor · Bellport, NY

NPI number 1366643439 Active

Practice location

27 Champlin Avenue
Bellport, NY 11713

Call (631) 661-5518 Map

Mailing address

440 Spangle Drive
North Babylon, NY 11703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12290 (NY)
Mental Health Counselor Primary 101YM0800X0005621 (NY)
Licensed Practical Nurse 164W00000X098015 (NY)

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About NPI 1366643439

Addie Hampton, CASAC LMHC CRC LPN's National Provider Identifier is 1366643439, issued on May 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bellport, NY. The record was last updated on Jan 5, 2011.