Provider Demographics
NPI:1336654896
Name:ASBED, HANNAH M (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:M
Last Name:ASBED
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 573
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025-0573
Mailing Address - Country:US
Mailing Address - Phone:314-254-3226
Mailing Address - Fax:
Practice Address - Street 1:2634 HIGHWAY 109 STE E
Practice Address - Street 2:
Practice Address - City:GROVER
Practice Address - State:MO
Practice Address - Zip Code:63040-1160
Practice Address - Country:US
Practice Address - Phone:314-254-3226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017041297101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490052726Medicaid