Basic Information
| Provider Information | |||||||||
| NPI: | 1568403020 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMILTON | ||||||||
| FirstName: | ELEANOR | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | PH.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31002 SHERRIE LN | ||||||||
| Address2: | |||||||||
| City: | MAGNOLIA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773543417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4106938139 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6640 LONG POINT RD | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770552633 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7136869194 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 06/06/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 20074 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.