Provider Demographics
NPI:1811251770
Name:ROBLE, HANNAH ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:ELIZABETH
Last Name:ROBLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 N GREEN ACRES RD STE C
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-2600
Mailing Address - Country:US
Mailing Address - Phone:479-477-2352
Mailing Address - Fax:
Practice Address - Street 1:2013 N GREEN ACRES RD STE C
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-2600
Practice Address - Country:US
Practice Address - Phone:479-477-2352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
AR10216-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health