Healthcare Provider Details

I. General information

NPI: 1619202520
Provider Name (Legal Business Name): SUZANNE NOLAND HAMMEL MS, LPC, LMFT, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2009
Last Update Date: 10/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 SIERRA CT
METAIRIE LA
70001-5326
US

IV. Provider business mailing address

321 ARLINGTON DR
METAIRIE LA
70001-5511
US

V. Phone/Fax

Practice location:
  • Phone: 504-834-2225
  • Fax: 504-836-2321
Mailing address:
  • Phone: 504-834-2225
  • Fax: 504-836-2321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberLPC #1580; LMFT #88
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberLMHC #60032033
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: