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NPI 1356056659

NPI 1356056659 : HANNAH ELLIS LCSW PLLC : BREVARD, NC

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General NPI Number Information
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    NPI Number           |    1356056659
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANNAH ELLIS LCSW PLLC 
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Dates
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    Enumeration Date     |    01/20/2023
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    41 N RICE ST 
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    City                 |    BREVARD
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    State                |    NC
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    Zip                  |    28712-3431
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    Country              |    US
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    Telephone            |    828-513-0653
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    Fax                  |    828-372-4501
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Provider Business Mailing Address
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    Address Line         |    41 AIKEN ST 
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    City                 |    BREVARD
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    State                |    NC
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    Zip                  |    28712-4833
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LCSW
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    Name                 |     HANNAH  ELLIS 
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    Credential           |    LCSW
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    Telephone            |    828-513-0653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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