Basic Information
| Provider Information | |||||||||
| NPI: | 1962059246 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAMMOND | ||||||||
| FirstName: | JO-ANA | ||||||||
| MiddleName: | HELEN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 PALMETTO PARK BLVD | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 290727872 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8039961500 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 301 PALMETTO PARK BLVD | ||||||||
| Address2: | |||||||||
| City: | LEXINGTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 290727872 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8039961500 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2019 | ||||||||
| LastUpdateDate: | 08/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | SC | N | Behavioral Health & Social Service Providers | Counselor | Professional | 101Y00000X | SC | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.