Provider Demographics
NPI:1285512822
Name:BARNETT, HANNAH (LAC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 FOX LAIR DR
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-7796
Mailing Address - Country:US
Mailing Address - Phone:623-340-6035
Mailing Address - Fax:
Practice Address - Street 1:130 CASTLE ROCK RD UNIT 92
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-8881
Practice Address - Country:US
Practice Address - Phone:623-340-6035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-23381101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor