Healthcare Provider Details

I. General information

NPI: 1558617415
Provider Name (Legal Business Name): KATHARINE S HANKINS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2012
Last Update Date: 07/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 SPRING HILL AVE
MOBILE AL
36607-1822
US

IV. Provider business mailing address

2900 SPRING HILL AVE
MOBILE AL
36607-1822
US

V. Phone/Fax

Practice location:
  • Phone: 251-287-8420
  • Fax: 251-287-8478
Mailing address:
  • Phone: 251-287-8420
  • Fax: 251-287-8478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2406C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: