MEDICARE: HANNAH GIESSLER LCMHC-A

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	101YM0800X	Mental Health Counselor	A21423	NC

General Provider Information

NPI Number	:	1356231658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH GIESSLER LCMHC-A

Provider Business Mailing Address
First Line	:	730 HAWTHORNE LN APT 239
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2175
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1117 E MOREHEAD ST STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-2870
Country	:	US
Telephone Number	:	980-998-9920
Fax Number	:

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

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/08/2025

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