Provider Demographics
NPI:1164254314
Name:HAMMOND, MICHELLE (CMHC, PHD ,)
Entity type:Individual
Prefix:PROF
First Name:MICHELLE
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:CMHC, PHD ,
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:BOULDEN
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3447 HOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:FEDERALSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21632-2628
Mailing Address - Country:US
Mailing Address - Phone:410-253-6937
Mailing Address - Fax:
Practice Address - Street 1:3447 HOLLAND DR
Practice Address - Street 2:
Practice Address - City:FEDERALSBURG
Practice Address - State:MD
Practice Address - Zip Code:21632-2628
Practice Address - Country:US
Practice Address - Phone:410-253-6937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374J00000XNursing Service Related ProvidersDoula
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner