Provider Demographics
NPI:1821529157
Name:EPIC RESOURCES INC.
Entity Type:Organization
Organization Name:EPIC RESOURCES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND-NATOF
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:516-521-2435
Mailing Address - Street 1:1600 TROPICANA DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-9405
Mailing Address - Country:US
Mailing Address - Phone:516-521-2435
Mailing Address - Fax:
Practice Address - Street 1:3101 CLAYS MILL RD
Practice Address - Street 2:SUITE 207
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2772
Practice Address - Country:US
Practice Address - Phone:516-521-2435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY100330103K00000X
KY129011103T00000X
KY172350103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty