Healthcare Provider Details

I. General information

NPI: 1730629908
Provider Name (Legal Business Name): JEAN GEHERIN HATT LPC, CPCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JEAN HATT LPC, CPCS

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 CORDER RD STE 300
WARNER ROBINS GA
31088-7195
US

IV. Provider business mailing address

404 CORDER RD STE 300
WARNER ROBINS GA
31088-7195
US

V. Phone/Fax

Practice location:
  • Phone: 478-449-1475
  • Fax: 877-712-4794
Mailing address:
  • Phone: 478-449-1475
  • Fax: 877-712-4794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCG60727330
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLH60795987
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC011799
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: