Provider Demographics
NPI:1457564288
Name:GARRICK, HANNAH (LCSW, LMFT, BCD)
Entity Type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:
Last Name:GARRICK
Suffix:
Gender:F
Credentials:LCSW, LMFT, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6065 ROSWELL RD NE
Mailing Address - Street 2:#705
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4011
Mailing Address - Country:US
Mailing Address - Phone:404-255-6409
Mailing Address - Fax:404-255-3794
Practice Address - Street 1:6065 ROSWELL RD NE
Practice Address - Street 2:#705
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4011
Practice Address - Country:US
Practice Address - Phone:404-255-6409
Practice Address - Fax:404-255-3794
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2011-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA#0003091041C0700X
GA#000300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist