MEDICARE: HANNAH PARSONS RMHCI

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	IMH22935	FL

General Provider Information

NPI Number	:	1700653672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH PARSONS RMHCI

Provider Business Mailing Address
First Line	:	174 CITRUS RIDGE DR
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32081-8503
Country	:	US
Telephone Number	:	706-207-3988
Fax Number	:

Provider Business Practice Location Address
First Line	:	3995 HUNT CLUB RD # 2
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-8416
Country	:	US
Telephone Number	:	904-735-8730
Fax Number	:

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

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	12/11/2023

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