Hickman, Tammy
Hickman, Tammy is an individual health care provider with primary practice located at 27777 Inkster Rd Ste 100 , Farmington Hills MI 48334-5312. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Hickman, Tammy can be contacted via phone (248) 436-4400.Contact Information
Primary practice address
27777 Inkster Rd Ste 100
Farmington Hills MI 48334-5312
Phone: (248) 436-4400
Fax: (503) 815-1870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Peer Specialist | 175T00000X | THW000000661 | Oregon |
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1306385505 |
|---|---|
| LBN Legal business name | Hickman, Tammy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2017 |
| Last updated | Apr 2nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306385505 | NPPES |
| Oregon | MEDICAID | 500722315 |
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