Healthcare Provider Details

I. General information

NPI: 1851225551
Provider Name (Legal Business Name): HANNAH BARE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 N CENTER ST # 179
HICKORY NC
28601-1320
US

IV. Provider business mailing address

2425 N CENTER ST # 179
HICKORY NC
28601-1320
US

V. Phone/Fax

Practice location:
  • Phone: 919-374-8479
  • Fax: 704-582-7351
Mailing address:
  • Phone: 919-374-8479
  • Fax: 704-582-7351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: