Healthcare Provider Details

I. General information

NPI: 1083566772
Provider Name (Legal Business Name): HANNAH B PHELPS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1662 BONHAM RD
BRISTOL VA
24201-2090
US

IV. Provider business mailing address

1662 BONHAM RD
BRISTOL VA
24201-2090
US

V. Phone/Fax

Practice location:
  • Phone: 276-644-9899
  • Fax: 276-644-9978
Mailing address:
  • Phone: 276-644-9899
  • Fax: 276-644-9978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015866
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: