Provider Demographics
NPI:1003544339
Name:TRIBLE, HANNAH B (LPC)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:B
Last Name:TRIBLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1645 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5823
Mailing Address - Country:US
Mailing Address - Phone:540-455-4055
Mailing Address - Fax:
Practice Address - Street 1:509 PARK ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4739
Practice Address - Country:US
Practice Address - Phone:540-455-4055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional