Provider Demographics
NPI:1205506763
Name:VARNADOE, HANNAH (LMHC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:VARNADOE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-3732
Mailing Address - Country:US
Mailing Address - Phone:786-616-0639
Mailing Address - Fax:
Practice Address - Street 1:444 VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33916-3732
Practice Address - Country:US
Practice Address - Phone:786-616-0639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19735101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health