1386789493 NPI number — DR. TAMMY HOYLE CASHWELL PHD, LPC, NCC

Table of content: DR. TAMMY HOYLE CASHWELL PHD, LPC, NCC (NPI 1386789493)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386789493 NPI number — DR. TAMMY HOYLE CASHWELL PHD, LPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CASHWELL
Provider First Name:
TAMMY
Provider Middle Name:
HOYLE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD, LPC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386789493
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4696 LINVILLE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KERNERSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27284-9321
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
220 EAST FIRST AVENUE EXTENSION
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27292-3355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-242-2450
Provider Business Practice Location Address Fax Number:
336-249-9920
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  4410 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4410 . This is a "LPC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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