Provider Demographics
NPI:1275768293
Name:BURKE, HANNAH ELIZABETH (LPCC-S,LSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:BURKE
Suffix:
Gender:F
Credentials:LPCC-S,LSW
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ELIZABETH
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:55 ALLISON RD
Mailing Address - Street 2:
Mailing Address - City:PATRIOT
Mailing Address - State:OH
Mailing Address - Zip Code:45658-8801
Mailing Address - Country:US
Mailing Address - Phone:740-379-9083
Mailing Address - Fax:740-379-9236
Practice Address - Street 1:55 ALLISON RD
Practice Address - Street 2:
Practice Address - City:PATRIOT
Practice Address - State:OH
Practice Address - Zip Code:45658-8801
Practice Address - Country:US
Practice Address - Phone:740-379-9083
Practice Address - Fax:740-379-9236
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE. 0008176101YP2500X
OHS. 0028068104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker