Provider Demographics
NPI:1356879928
Name:MELISSA HAMMEL CONSULTING
Entity type:Organization
Organization Name:MELISSA HAMMEL CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCP/MHSP
Authorized Official - Phone:615-202-5242
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:TN
Mailing Address - Zip Code:38449-0039
Mailing Address - Country:US
Mailing Address - Phone:615-202-5242
Mailing Address - Fax:
Practice Address - Street 1:30267 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:TN
Practice Address - Zip Code:38449-3216
Practice Address - Country:US
Practice Address - Phone:615-202-5242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-26
Last Update Date:2017-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002446251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health