Provider Demographics
NPI:1801502257
Name:SOILEAU, HANNAH JANE (ALC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JANE
Last Name:SOILEAU
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 OLD SHELL RD APT 241
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-2703
Mailing Address - Country:US
Mailing Address - Phone:337-706-6476
Mailing Address - Fax:
Practice Address - Street 1:4087 COTTAGE HILL RD STE B
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-4226
Practice Address - Country:US
Practice Address - Phone:337-706-6476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALC04240101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALALC04240OtherALABAMA BOARD OF EXAMINERS IN COUNSELING