Provider Demographics
NPI:1104467356
Name:BROOKS, HANNAH MCCLELLAN (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:MCCLELLAN
Last Name:BROOKS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8445 CLARKE CV
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:AL
Mailing Address - Zip Code:35094-1127
Mailing Address - Country:US
Mailing Address - Phone:224-688-3071
Mailing Address - Fax:
Practice Address - Street 1:1000 SAINT CLAIR RD
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:AL
Practice Address - Zip Code:35146-5585
Practice Address - Country:US
Practice Address - Phone:205-467-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-162118363LP0808X
GAGAA-NP000030363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-162118OtherABON