Provider Demographics
NPI:1336715523
Name:COOK, HANNAH MYKEL (BA, MA, LLMFT, LLPC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MYKEL
Last Name:COOK
Suffix:
Gender:F
Credentials:BA, MA, LLMFT, LLPC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:MYKEL
Other - Last Name:WOZNIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MA
Mailing Address - Street 1:2226 RIBOURDE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46628-3447
Mailing Address - Country:US
Mailing Address - Phone:219-617-5571
Mailing Address - Fax:
Practice Address - Street 1:118 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUCHANAN
Practice Address - State:MI
Practice Address - Zip Code:49107-1455
Practice Address - Country:US
Practice Address - Phone:219-617-5571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional