Healthcare Provider Details

I. General information

NPI: 1235747023
Provider Name (Legal Business Name): HANNAH ALSUP LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2020
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 HOLBROOK STREET SUITE 220
NORFOLK MA
02056
US

IV. Provider business mailing address

65 HOLBROOK STREET SUITE 220
NORFOLK MA
02056
US

V. Phone/Fax

Practice location:
  • Phone: 781-742-4515
  • Fax: 508-377-3752
Mailing address:
  • Phone: 781-742-4515
  • Fax: 508-377-3752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10003755
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: