Provider Demographics
NPI:1336332568
Name:HAMPTON, AMY LAUREN (LPC)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:LAUREN
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1627 OAKWOOD DR.
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069
Mailing Address - Country:US
Mailing Address - Phone:405-443-7622
Mailing Address - Fax:405-708-6331
Practice Address - Street 1:11212 N. MAY AVE.
Practice Address - Street 2:SUITE 208
Practice Address - City:OKC
Practice Address - State:OK
Practice Address - Zip Code:73120
Practice Address - Country:US
Practice Address - Phone:405-443-7622
Practice Address - Fax:405-708-6331
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 225C00000X, 101YM0800X
OK5834101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor