Healthcare Provider Details

I. General information

NPI: 1831518646
Provider Name (Legal Business Name): HANNAH ROSE TOSCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 STANCHION ST
HAW RIVER NC
27258-9456
US

IV. Provider business mailing address

2004 STANCHION ST
HAW RIVER NC
27258-9456
US

V. Phone/Fax

Practice location:
  • Phone: 336-686-7633
  • Fax:
Mailing address:
  • Phone: 336-686-7633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA11536
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: