Healthcare Provider Details

I. General information

NPI: 1861076853
Provider Name (Legal Business Name): FAY L HAHN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 FRONT ST
BEREA OH
44017-1986
US

IV. Provider business mailing address

46 FRONT ST
BEREA OH
44017-1986
US

V. Phone/Fax

Practice location:
  • Phone: 216-282-3916
  • Fax:
Mailing address:
  • Phone: 216-282-3916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2303850-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: