Hammonds, Gwen

Hammonds, Gwen is an sole proprietor health care provider with primary practice located at 2883 Deep Branch Rd , Lumberton NC 28360-4904. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Hammonds, Gwen can be contacted via phone (910) 608-2311.

Contact Information

Primary practice address
2883 Deep Branch Rd Lumberton NC 28360-4904
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3053 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X 54834 North Carolina

Profile Details

NPI number 1033426085
LBN Legal business name Hammonds, Gwen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2010
Last updated Nov 16th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033426085 NPPES
North Carolina MEDICAID 6104569

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