MEDICARE: HADLEY HATTEBERG COUNSELING, LLC

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

General Provider Information

NPI Number	:	1740158724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HADLEY HATTEBERG COUNSELING, LLC

Provider Business Mailing Address
First Line	:	5610 NEPSA WAY APT 4102
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-1721
Country	:	US
Telephone Number	:	216-250-2043
Fax Number	:

Provider Business Practice Location Address
First Line	:	2665 ENDICOTT RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44120-1309
Country	:	US
Telephone Number	:	216-250-2043
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HADLEY HATTEBERG
Credential	:	LPC
Telephone Number	:	216-973-7496

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	01/12/2026

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