Provider Demographics
NPI:1588134076
Name:HATTON, STEPHEN LAMAR (LPC)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:LAMAR
Last Name:HATTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 KINGS TOWER PL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-4951
Mailing Address - Country:US
Mailing Address - Phone:804-721-1786
Mailing Address - Fax:
Practice Address - Street 1:10571 TELEGRAPH RD STE 120
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-4652
Practice Address - Country:US
Practice Address - Phone:607-480-4824
Practice Address - Fax:024-780-4716
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007565101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional