Provider Demographics
NPI:1346085453
Name:WATSON, HANNAH MARIE (LAPC)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:MARIE
Last Name:WATSON
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 SUNRISE CIR
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:GA
Mailing Address - Zip Code:31320-6580
Mailing Address - Country:US
Mailing Address - Phone:912-660-6303
Mailing Address - Fax:
Practice Address - Street 1:836 E 65TH ST STE 3
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4498
Practice Address - Country:US
Practice Address - Phone:912-355-5112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009757101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health