Healthcare Provider Details

I. General information

NPI: 1972982908
Provider Name (Legal Business Name): HANNAH FERNANDEZ GIVENS LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HANNAH DEBORAH FERNANDEZ

II. Dates (important events)

Enumeration Date: 05/22/2015
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VEAZEY DR
BUTNER NC
27509-1668
US

IV. Provider business mailing address

300 VEAZEY DR
BUTNER NC
27509-1668
US

V. Phone/Fax

Practice location:
  • Phone: 919-764-2000
  • Fax:
Mailing address:
  • Phone: 919-764-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP009615
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: