Provider Demographics
NPI:1376896928
Name:LIVERMORE, HANNAH R (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:R
Last Name:LIVERMORE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:HANNAH
Other - Middle Name:R
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LPC
Mailing Address - Street 1:10031 DEER SIGHT DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49333-8006
Mailing Address - Country:US
Mailing Address - Phone:616-229-0659
Mailing Address - Fax:
Practice Address - Street 1:10031 DEER SIGHT DR
Practice Address - Street 2:
Practice Address - City:MIDDLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:49333-8006
Practice Address - Country:US
Practice Address - Phone:616-229-0659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-19
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013257101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional