Provider Demographics
NPI:1629503768
Name:HAMMITT, STEFFANI
Entity Type:Individual
Prefix:MRS
First Name:STEFFANI
Middle Name:
Last Name:HAMMITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13077 TARA POINT DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-7203
Mailing Address - Country:US
Mailing Address - Phone:904-859-9439
Mailing Address - Fax:
Practice Address - Street 1:13077 TARA POINT DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-7203
Practice Address - Country:US
Practice Address - Phone:904-859-9439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 106H00000X
AL640106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker