Healthcare Provider Details

I. General information

NPI: 1801326822
Provider Name (Legal Business Name): HANNAH CATHERINE SALAZAR LMHC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH CATHERINE SMITH

II. Dates (important events)

Enumeration Date: 06/13/2017
Last Update Date: 12/30/2022
Certification Date: 12/30/2022
Deactivation Date: 09/29/2022
Reactivation Date: 12/07/2022

III. Provider practice location address

410 METZGER DR
DAYTON OH
45433-1132
US

IV. Provider business mailing address

410 METZGER DR
DAYTON OH
45433-1132
US

V. Phone/Fax

Practice location:
  • Phone: 321-634-4474
  • Fax:
Mailing address:
  • Phone: 321-634-4474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC21011
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2203150.MIL
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: