DEBORAH D. HANNA LCSW PA NPI 1366684631

NPI Information

  • NPI: 1366684631
  • Provider Name: DEBORAH D. HANNA LCSW PA
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 100 EXECUTIVE WAY
    SUITE 113
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Phone: (904) 273-6747

Map and Directions

Get Directions

NPI Details

DEBORAH D. HANNA LCSW PA is a mental health (including community mental health center) clinic center in Ponte Vedra Beach, FL. DEBORAH D. HANNA LCSW PA NPI is 1366684631. The provider is registered as an organization entity type.

The provider's business location address is:

100 EXECUTIVE WAY
SUITE 113
PONTE VEDRA BEACH, FL
ZIP 32082-715
Phone: (904) 273-6747
Fax: (904) 273-6861

The provider's authorized official is Deborah D Hanna .
The authorized official title is Owner and has the following contact phone number (904) 273-6747.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R60215MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI