Healthcare Provider Details

I. General information

NPI: 1295608958
Provider Name (Legal Business Name): HANNAH FAITH BANDY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2025
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 TINKER BELL CIR
FLINTSTONE GA
30725-2177
US

IV. Provider business mailing address

424 TINKER BELL CIR
FLINTSTONE GA
30725-2177
US

V. Phone/Fax

Practice location:
  • Phone: 423-504-8046
  • Fax:
Mailing address:
  • Phone: 423-504-8046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15720
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: