MEDICARE: HANNAH ELIZABETH MCCOY

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
1	101YM0800X	Mental Health Counselor		TN

General Provider Information

NPI Number	:	1265224091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ELIZABETH MCCOY

Provider Business Mailing Address
First Line	:	2005 WESTLAND DR SW
Second Line	:	APT 603
City	:	CLEVELAND
State	:	TN
Zip	:	37311
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3555 KEITH ST NW
Second Line	:	SUITE 104
City	:	CLEVELAND
State	:	TN
Zip	:	37312
Country	:	US
Telephone Number	:	423-250-5057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	06/03/2026

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