Provider Demographics
NPI:1649494436
Name:HANNA, ELLEN (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:HANNA
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24123 SPRING TOWNE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-6363
Mailing Address - Country:US
Mailing Address - Phone:251-382-7810
Mailing Address - Fax:
Practice Address - Street 1:24123 SPRING TOWNE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-6363
Practice Address - Country:US
Practice Address - Phone:251-383-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17154101YP2500X
FLMH14791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00018214Medicaid
TX17154OtherTX STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELING
FLMH14791OtherFL BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, AND MENTAL HEALTH C