Basic Information
| Provider Information | |||||||||
| NPI: | 1740421692 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMMOND | ||||||||
| FirstName: | LEIGH | ||||||||
| MiddleName: | ABBIE | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1258 | ||||||||
| Address2: | |||||||||
| City: | WAYNESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 384851258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9312531110 | ||||||||
| FaxNumber: | 2567652036 | ||||||||
| Practice Location | |||||||||
| Address1: | 104 1ST AVE SOUTH | ||||||||
| Address2: | |||||||||
| City: | COLLINWOOD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 38450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9317249000 | ||||||||
| FaxNumber: | 9317245492 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2009 | ||||||||
| LastUpdateDate: | 08/31/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 2219C | AL | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.