Healthcare Provider Details

I. General information

NPI: 1386538031
Provider Name (Legal Business Name): LINDSAY HAMMERLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 OFFICE PARK CT STE 103
COLUMBIA SC
29223-5948
US

IV. Provider business mailing address

2603 MILLS DR
COLUMBIA SC
29204-2610
US

V. Phone/Fax

Practice location:
  • Phone: 888-755-1133
  • Fax:
Mailing address:
  • Phone: 818-388-8005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: