Provider Demographics
NPI:1740575166
Name:HAMMER, ERIC WADE (LPC, LCDC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:WADE
Last Name:HAMMER
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4515 CORNELL ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5810
Mailing Address - Country:US
Mailing Address - Phone:806-452-8006
Mailing Address - Fax:806-452-8007
Practice Address - Street 1:4515 CORNELL ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5810
Practice Address - Country:US
Practice Address - Phone:806-452-8006
Practice Address - Fax:806-452-8007
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12074101YA0400X
TX71151101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)