Provider Demographics
NPI:1346461308
Name:HAMMOND, SUSAN KAY (MA, NCC, LPC, AADCIP)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:KAY
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MA, NCC, LPC, AADCIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7167 HIGHWAY 66
Mailing Address - Street 2:
Mailing Address - City:LORIS
Mailing Address - State:SC
Mailing Address - Zip Code:29569-5436
Mailing Address - Country:US
Mailing Address - Phone:304-709-4221
Mailing Address - Fax:
Practice Address - Street 1:2404 WISE RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-5521
Practice Address - Country:US
Practice Address - Phone:843-365-8884
Practice Address - Fax:843-365-6685
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7902101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)