Provider Demographics
NPI:1306457932
Name:COLE, HANNAH (MA, LPC/MHSP)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:MA, LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 KINGSTON PIKE STE 2
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-3336
Mailing Address - Country:US
Mailing Address - Phone:865-257-9220
Mailing Address - Fax:865-312-5070
Practice Address - Street 1:2607 KINGSTON PIKE STE 2
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3336
Practice Address - Country:US
Practice Address - Phone:865-257-9220
Practice Address - Fax:865-312-5070
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4219101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional