MEDICARE: HANNAH MARGURITE CARLISLE MA, LCMHC-A

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	A22693	NC
2	101YP2500X	Professional Counselor	A22693	NC

General Provider Information

NPI Number	:	1780524801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MARGURITE CARLISLE MA, LCMHC-A

Provider Business Mailing Address
First Line	:	1001 TUSCARORA AVE
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-5401
Country	:	US
Telephone Number	:	336-613-7722
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 HALSTEAD BLVD STE 28&29
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-6986
Country	:	US
Telephone Number	:	252-384-8685
Fax Number	:

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

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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