Provider Demographics
NPI:1740421692
Name:HAMMOND, LEIGH ABBIE (LCSW)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ABBIE
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1258
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:38485-1258
Mailing Address - Country:US
Mailing Address - Phone:931-253-1110
Mailing Address - Fax:256-765-2036
Practice Address - Street 1:104 1ST AVE SOUTH
Practice Address - Street 2:
Practice Address - City:COLLINWOOD
Practice Address - State:TN
Practice Address - Zip Code:38450
Practice Address - Country:US
Practice Address - Phone:931-724-9000
Practice Address - Fax:931-724-5492
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2219C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical