Provider Demographics
NPI:1447733167
Name:HAMKE, MAXIMILLIAN ALEXANDER (MA, LPC)
Entity type:Individual
Prefix:
First Name:MAXIMILLIAN
Middle Name:ALEXANDER
Last Name:HAMKE
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 QUEENSLAND DR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35824-4114
Mailing Address - Country:US
Mailing Address - Phone:916-320-9041
Mailing Address - Fax:
Practice Address - Street 1:9694 MADISON BLVD STE A10
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9137
Practice Address - Country:US
Practice Address - Phone:256-203-6558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-09
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05504101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor