Provider Demographics
NPI:1871309674
Name:HEMMINGS LEWIS, TAMECA NICOLE
Entity type:Individual
Prefix:MRS
First Name:TAMECA
Middle Name:NICOLE
Last Name:HEMMINGS LEWIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TAMECA
Other - Middle Name:N
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6011 EMERSON ST APT 716
Mailing Address - Street 2:
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-1855
Mailing Address - Country:US
Mailing Address - Phone:202-802-1998
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1252
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-0252
Practice Address - Country:US
Practice Address - Phone:202-802-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty