Healthcare Provider Details

I. General information

NPI: 1588352462
Provider Name (Legal Business Name): ADRIAN HANNA LCPC, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 N. LASALLE
CHICAGO IL
60654
US

IV. Provider business mailing address

3748 N SHEFFIELD AVE
CHICAGO IL
60613-2970
US

V. Phone/Fax

Practice location:
  • Phone: 312-655-7700
  • Fax:
Mailing address:
  • Phone: 312-659-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.017790
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.018677
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number22-356
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: