Provider Demographics
NPI:1689068835
Name:HEWITT, TAMMERRA (NCC, LCPC, LPC, ACS)
Entity Type:Individual
Prefix:
First Name:TAMMERRA
Middle Name:
Last Name:HEWITT
Suffix:
Gender:F
Credentials:NCC, LCPC, LPC, ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12138 CENTRAL AVE
Mailing Address - Street 2:SUITE 516
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1910
Mailing Address - Country:US
Mailing Address - Phone:240-603-6527
Mailing Address - Fax:240-525-0852
Practice Address - Street 1:12138 CENTRAL AVE
Practice Address - Street 2:SUITE 516
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-1910
Practice Address - Country:US
Practice Address - Phone:240-603-6527
Practice Address - Fax:240-525-0852
Is Sole Proprietor?:No
Enumeration Date:2015-03-26
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14523101YM0800X
MDLC4656101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health