Provider Demographics
NPI:1275683179
Name:HAMMOND, MARCIE (LMHC)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2047
Mailing Address - Country:US
Mailing Address - Phone:413-219-4973
Mailing Address - Fax:
Practice Address - Street 1:241 KING ST STE 219
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2341
Practice Address - Country:US
Practice Address - Phone:413-219-4973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5109101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health