Provider Demographics
NPI:1073393278
Name:MERSEREAU, HANNAH (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MERSEREAU
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:ATHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 HILLCREST DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5064
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:130 HILLCREST DR STE 103
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5064
Practice Address - Country:US
Practice Address - Phone:615-682-2446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY284922101YM0800X
HIMHC-902101YM0800X
TN6584101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health