Provider Demographics
NPI:1174295141
Name:ARMBRUST, HANNAH (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:ARMBRUST
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:HENNEBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1505 S ARBORS LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-7109
Mailing Address - Country:US
Mailing Address - Phone:812-369-0412
Mailing Address - Fax:
Practice Address - Street 1:1505 S ARBORS LN
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-7109
Practice Address - Country:US
Practice Address - Phone:812-369-0412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC1900X
IN39004788A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling