Alexandra Hamilton, BA MHP

Individual provider Active NPI Mental Health Counselor · Vienna, IL

NPI 1164078606 · NPPES record last updated Aug 12, 2019

Key facts

NPI
1164078606
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
101 Oliver St
Vienna, IL 62995-1660
Phone
(618) 658-2611
Fax
(618) 658-2501
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowleaf Current
since Aug 18, 2019
Accepting new patients
Arrowleaf Mental Health Past
since Aug 18, 2019
Accepting new patients

Locations

101 Oliver St
Vienna, IL 62995
Phone (618) 658-2611

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

101 Oliver St
Vienna, IL 62995-1660

Mailing address

101 Oliver St
Vienna, IL 62995-1660
Phone (618) 658-2611

Other names

  • Alexandra Hennigh Former name

Other providers in Vienna, IL

All providers in Vienna, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.