Healthcare Provider Details

I. General information

NPI: 1669381513
Provider Name (Legal Business Name): HANNAH GRACE SAKURA HILL CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 FOLLY ROAD BLVD UNIT 335
CHARLESTON SC
29407-8311
US

IV. Provider business mailing address

1805 SHOREMEADE RD STE 316
MT PLEASANT SC
29464-7313
US

V. Phone/Fax

Practice location:
  • Phone: 843-580-8107
  • Fax:
Mailing address:
  • Phone: 703-994-6395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: