Provider Demographics
NPI:1558029363
Name:HAMMOND, EMILEE BEYER (M ED, LPC)
Entity Type:Individual
Prefix:
First Name:EMILEE
Middle Name:BEYER
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:M ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6202 IOLA AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2729
Mailing Address - Country:US
Mailing Address - Phone:806-786-1661
Mailing Address - Fax:
Practice Address - Street 1:6202 IOLA AVE STE 105
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2729
Practice Address - Country:US
Practice Address - Phone:806-786-1661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-30
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82654101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000000OtherN/A