MEDICARE: HANNAH GATLIN

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	A17631	NC

General Provider Information

NPI Number	:	1396474987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH GATLIN

Provider Business Mailing Address
First Line	:	1900 RANDOLPH RD STE 402
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28207-1106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 RANDOLPH RD STE 402
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28207-1106
Country	:	US
Telephone Number	:	704-384-7001
Fax Number	:

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

Provider Enumeration Date	:	06/08/2022
Last Update Date	:	03/17/2026

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Directions to “ HANNAH GATLIN ” Practice Location

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