Provider Demographics
NPI:1700513058
Name:HAMM, AMY JO (LMHC, LPCC)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:JO
Last Name:HAMM
Suffix:
Gender:F
Credentials:LMHC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6202 34TH CT E
Mailing Address - Street 2:
Mailing Address - City:ELLENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34222-7202
Mailing Address - Country:US
Mailing Address - Phone:941-545-7237
Mailing Address - Fax:
Practice Address - Street 1:5201 W KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1845
Practice Address - Country:US
Practice Address - Phone:612-248-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17338101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health