Healthcare Provider Details

I. General information

NPI: 1619801016
Provider Name (Legal Business Name): HANNAH WELLS SIMMONS LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 E MAIN ST STE 210
ROCK HILL SC
29730-4892
US

IV. Provider business mailing address

135 E MAIN ST STE 210
ROCK HILL SC
29730-4892
US

V. Phone/Fax

Practice location:
  • Phone: 803-517-8715
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10956
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: