Healthcare Provider Details

I. General information

NPI: 1255276903
Provider Name (Legal Business Name): HANNA DYAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BILL ROBISON PKWY STE E
ANNISTON AL
36206-2610
US

IV. Provider business mailing address

100 BILL ROBISON PKWY STE E
ANNISTON AL
36206-2610
US

V. Phone/Fax

Practice location:
  • Phone: 256-676-8604
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC05918
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: