Provider Demographics
NPI:1346990405
Name:HAMMOND, KATONYIA A (LPCA)
Entity Type:Individual
Prefix:
First Name:KATONYIA
Middle Name:A
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:KATONYIA
Other - Middle Name:A
Other - Last Name:DENSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:612 RICHMAR AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-2292
Mailing Address - Country:US
Mailing Address - Phone:972-854-4216
Mailing Address - Fax:
Practice Address - Street 1:9523 TIMBERBLUFF RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-1362
Practice Address - Country:US
Practice Address - Phone:972-854-4216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88247101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health