Provider Demographics
NPI:1588007272
Name:ROBERTA HAMMOND AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:ROBERTA HAMMOND AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:GLENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNELL-BAUGHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PCC
Authorized Official - Phone:937-294-3794
Mailing Address - Street 1:1344 WOODMAN DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45432-3475
Mailing Address - Country:US
Mailing Address - Phone:937-294-3794
Mailing Address - Fax:937-331-5438
Practice Address - Street 1:1344 WOODMAN DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45432-3475
Practice Address - Country:US
Practice Address - Phone:937-294-3794
Practice Address - Fax:937-331-5438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0005416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty