Healthcare Provider Details

I. General information

NPI: 1760375521
Provider Name (Legal Business Name): HANNA YANNI LMFT 155267
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2485 SHORELINE DR APT 321
ALAMEDA CA
94501-6208
US

IV. Provider business mailing address

2485 SHORELINE DR APT 321
ALAMEDA CA
94501-6208
US

V. Phone/Fax

Practice location:
  • Phone: 559-367-8442
  • Fax:
Mailing address:
  • Phone: 559-367-8442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number155267
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: