Provider Demographics
NPI:1205455441
Name:HANNAH KATHERINE COUNSELING, LLC
Entity type:Organization
Organization Name:HANNAH KATHERINE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:HANCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:910-922-2135
Mailing Address - Street 1:224 KAMEHAMEHA AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2860
Mailing Address - Country:US
Mailing Address - Phone:910-922-2135
Mailing Address - Fax:866-985-6799
Practice Address - Street 1:224 KAMEHAMEHA AVE STE 201
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2860
Practice Address - Country:US
Practice Address - Phone:910-922-2135
Practice Address - Fax:866-985-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health