Provider Demographics
NPI:1356056659
Name:HANNAH ELLIS LCSW PLLC
Entity type:Organization
Organization Name:HANNAH ELLIS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-513-0653
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:PENROSE
Mailing Address - State:NC
Mailing Address - Zip Code:28766-0458
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:112 TOP OF THE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-5443
Practice Address - Country:US
Practice Address - Phone:828-513-0653
Practice Address - Fax:828-372-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health