Provider Demographics
NPI:1518755537
Name:HAMILTON, ANNA LEIGH
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LEIGH
Last Name:HAMILTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 N CENTRAL AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004-1454
Mailing Address - Country:US
Mailing Address - Phone:602-271-4500
Mailing Address - Fax:
Practice Address - Street 1:2120 N CENTRAL AVE STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1454
Practice Address - Country:US
Practice Address - Phone:602-271-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-22858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional