Provider Demographics
NPI:1588714182
Name:HAMILTON, DOYLE R III (LMFT)
Entity type:Individual
Prefix:DR
First Name:DOYLE
Middle Name:R
Last Name:HAMILTON
Suffix:III
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 MIMOSA BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4408
Mailing Address - Country:US
Mailing Address - Phone:770-344-0310
Mailing Address - Fax:770-587-6999
Practice Address - Street 1:710 MIMOSA BLVD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-4408
Practice Address - Country:US
Practice Address - Phone:770-344-0310
Practice Address - Fax:770-587-6999
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA689106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist