Provider Demographics
NPI:1871134023
Name:HALL, HANNAH D M (MA, LPC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:D M
Last Name:HALL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 HARTMAN DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-2131
Mailing Address - Country:US
Mailing Address - Phone:724-953-6987
Mailing Address - Fax:
Practice Address - Street 1:1951 EVELYN BYRD AVE STE B
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3483
Practice Address - Country:US
Practice Address - Phone:540-437-0403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008319101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health