Healthcare Provider Details

I. General information

NPI: 1568327179
Provider Name (Legal Business Name): HANNAH M BEAIRD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 SLAUGHTER RD STE C
MADISON AL
35758-5914
US

IV. Provider business mailing address

251 JOHNSTON ST SE STE 100
DECATUR AL
35601-2535
US

V. Phone/Fax

Practice location:
  • Phone: 256-584-2330
  • Fax: 256-584-2330
Mailing address:
  • Phone: 256-822-2375
  • Fax: 256-584-2330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6609C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: