Healthcare Provider Details

I. General information

NPI: 1033645387
Provider Name (Legal Business Name): HANNAH ROSE HYMAN M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARINA MIKHAILOVNA SEITZ

II. Dates (important events)

Enumeration Date: 05/05/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 LOUISIANA BLVD NE
ALBUQUERQUE NM
87110-3532
US

IV. Provider business mailing address

2900 LOUISIANA BLVD NE STE A1
ALBUQUERQUE NM
87110-3550
US

V. Phone/Fax

Practice location:
  • Phone: 505-750-9163
  • Fax:
Mailing address:
  • Phone: 505-750-9163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCTB-2023-0719
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: