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NPI Code Detail

MEDICARE: HANNAH BRADY LCMHC

MEDICARE: HANNAH BRADY LCMHC
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
1101YP2500XProfessional CounselorA14655NC
2101YP2500XProfessional Counselor14655NC

General Provider Information

NPI Number : 1790242634
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH BRADY LCMHC
Provider Business Mailing Address
First Line : 2121 EASTCHESTER DR STE 105
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-1535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2121 EASTCHESTER DR STE 105
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-1535
Country : US
Telephone Number : 336-332-2277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2019
Last Update Date : 10/29/2024

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