=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700598109
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HANNAH FARMAN LCMHCA, NCC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2022
-----------------------------------------------------
Last Update Date | 12/16/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1903 ASHEVILLE HWY STE A
-----------------------------------------------------
City | HENDERSONVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28791-2168
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-388-5943
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 145 FAIRWAY VIEW DR
-----------------------------------------------------
City | ETOWAH
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28729-8703
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-243-1732
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | A17947
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------