Provider Demographics
NPI:1124590518
Name:JAMES, HANNAH BETH (PLMHP, TCADC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:BETH
Last Name:JAMES
Suffix:
Gender:F
Credentials:PLMHP, TCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8706 READ ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68122-5431
Mailing Address - Country:US
Mailing Address - Phone:828-289-3687
Mailing Address - Fax:
Practice Address - Street 1:107 N 4TH AVE STE 8
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:IA
Practice Address - Zip Code:51546
Practice Address - Country:US
Practice Address - Phone:531-225-0528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-22
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAT19020101YA0400X
NE11698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)