Hickman, Tammy

Hickman, Tammy is an individual health care provider with primary practice located at 27777 Inkster Rd Ste 100 , Farmington Hills MI 48334-5312. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Hickman, Tammy can be contacted via phone (248) 436-4400.

Contact Information

Primary practice address
27777 Inkster Rd Ste 100 Farmington Hills MI 48334-5312
Phone: (248) 436-4400
Fax: (503) 815-1870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X THW000000661 Oregon
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1306385505
LBN Legal business name Hickman, Tammy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Apr 2nd, 2024 - about 7 months 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 1306385505 NPPES
Oregon MEDICAID 500722315

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