Provider Demographics
NPI:1275085870
Name:FLEMING, HANNAH (CSAC, NCACII, QMHP-A)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:CSAC, NCACII, QMHP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6960 BRAY RD
Mailing Address - Street 2:
Mailing Address - City:HAYES
Mailing Address - State:VA
Mailing Address - Zip Code:23072-3436
Mailing Address - Country:US
Mailing Address - Phone:757-771-9423
Mailing Address - Fax:
Practice Address - Street 1:6523 MAIN ST
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-6132
Practice Address - Country:US
Practice Address - Phone:757-253-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-29
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710103537101YA0400X
VA0732008218101YM0800X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health