Healthcare Provider Details

I. General information

NPI: 1104760818
Provider Name (Legal Business Name): HANNAH MCDONALD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 BISCAYNE BLVD STE 800
NORTH MIAMI FL
33181-2726
US

IV. Provider business mailing address

12914 WINGED ELM DR N
JACKSONVILLE FL
32246-1157
US

V. Phone/Fax

Practice location:
  • Phone: 646-941-7645
  • Fax:
Mailing address:
  • Phone: 904-323-5940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27521
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: