Provider Demographics
NPI:1528183258
Name:PAYNE, VOHAMMIE J (MSW, LCSW, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:VOHAMMIE
Middle Name:J
Last Name:PAYNE
Suffix:
Gender:F
Credentials:MSW, LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HICKORY VISTA LN
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-6504
Mailing Address - Country:US
Mailing Address - Phone:828-891-4749
Mailing Address - Fax:
Practice Address - Street 1:16 HICKORY VISTA LN
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-6504
Practice Address - Country:US
Practice Address - Phone:828-891-4749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC000081101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
66329OtherBCBS