Healthcare Provider Details

I. General information

NPI: 1073430385
Provider Name (Legal Business Name): HANNAH HITCHCOCK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 NEW HAMPSHIRE ST STE C
LAWRENCE KS
66044-2774
US

IV. Provider business mailing address

114 W 27TH ST
EUDORA KS
66025-7100
US

V. Phone/Fax

Practice location:
  • Phone: 785-214-4012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number05158
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: