MEDICARE: MRS. KATHERINE LYNCH HAMMONS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC008250	GA

General Provider Information

NPI Number	:	1598936353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE LYNCH HAMMONS LPC

Provider Business Mailing Address
First Line	:	5400 LAUREL SPRINGS PKWY
Second Line	:	SUITE 1307
City	:	SUWANEE
State	:	GA
Zip	:	30024-6056
Country	:	US
Telephone Number	:	843-696-1614
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 LAUREL SPRINGS PKWY
Second Line	:	SUITE 1307
City	:	SUWANEE
State	:	GA
Zip	:	30024-6056
Country	:	US
Telephone Number	:	843-696-1614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2008
Last Update Date	:	01/12/2016

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