Healthcare Provider Details

I. General information

NPI: 1316867856
Provider Name (Legal Business Name): HANNAH MCKENZIE MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 PLANTATION CENTER DR
MATTHEWS NC
28105-5418
US

IV. Provider business mailing address

2019 STEEPLECHASE DR
ROCK HILL SC
29732-7301
US

V. Phone/Fax

Practice location:
  • Phone: 704-448-9819
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: