Provider Demographics
NPI:1972354405
Name:CHRISTINA HAMMAN THERAPY LLC
Entity Type:Organization
Organization Name:CHRISTINA HAMMAN THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-220-0552
Mailing Address - Street 1:515 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:ALLEGAN
Mailing Address - State:MI
Mailing Address - Zip Code:49010-1436
Mailing Address - Country:US
Mailing Address - Phone:517-474-8075
Mailing Address - Fax:
Practice Address - Street 1:515 MAPLE ST
Practice Address - Street 2:
Practice Address - City:ALLEGAN
Practice Address - State:MI
Practice Address - Zip Code:49010-1436
Practice Address - Country:US
Practice Address - Phone:517-474-8075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty