MEDICARE: HANNAH FAITH GORDNER 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	A20354	NC

General Provider Information

NPI Number	:	1922933027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH FAITH GORDNER LCMHC-A

Provider Business Mailing Address
First Line	:	8832 BLAKENEY PROFESSIONAL DR STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-6717
Country	:	US
Telephone Number	:	980-446-3567
Fax Number	:	704-625-9250

Provider Business Practice Location Address
First Line	:	8832 BLAKENEY PROFESSIONAL DR STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-6717
Country	:	US
Telephone Number	:	980-446-3567
Fax Number	:	704-625-9250

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

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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