Provider Demographics
NPI:1578385860
Name:HYLTON, HANNAH MARIE (MS, LPC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MARIE
Last Name:HYLTON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MARIE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:327 TEEL ST APT A
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-2523
Mailing Address - Country:US
Mailing Address - Phone:540-922-5050
Mailing Address - Fax:
Practice Address - Street 1:327 TEEL ST APT A
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-2523
Practice Address - Country:US
Practice Address - Phone:540-922-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014204101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional