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NPI Code Detail

MEDICARE: HANNAH EUBANK MA, LPC, LMFT

MEDICARE: HANNAH EUBANK MA, LPC, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor202984TX
2101YM0800XMental Health Counselor77598TX

General Provider Information

NPI Number : 1225654692
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH EUBANK MA, LPC, LMFT
Provider Business Mailing Address
First Line : 4 GREEN GLADE CT
Second Line :
City : WIMBERLEY
State : TX
Zip : 78676-5027
Country : US
Telephone Number : 254-709-6064
Fax Number :
Provider Business Practice Location Address
First Line : 4425 SOUTH MOPAC EXPRESSWAY
Second Line : BUILDING 4, SUITE 701
City : AUSTIN
State : TX
Zip : 78735-6760
Country : US
Telephone Number : 512-909-2535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2020
Last Update Date : 01/25/2021

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