Provider Demographics
NPI:1922993435
Name:HAMANN, AMISHA HANA (LPC-IT)
Entity type:Individual
Prefix:
First Name:AMISHA
Middle Name:HANA
Last Name:HAMANN
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:AMISHA
Other - Middle Name:
Other - Last Name:PERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22520 US HIGHWAY 63
Mailing Address - Street 2:
Mailing Address - City:GRAND VIEW
Mailing Address - State:WI
Mailing Address - Zip Code:54839-4466
Mailing Address - Country:US
Mailing Address - Phone:715-292-0238
Mailing Address - Fax:
Practice Address - Street 1:300 MAIN ST W
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-1639
Practice Address - Country:US
Practice Address - Phone:715-685-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8457-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health