Provider Demographics
NPI:1598591240
Name:HANNA, ABIGAIL SUNSHINE (PLADC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:SUNSHINE
Last Name:HANNA
Suffix:
Gender:F
Credentials:PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1941 S 42ND ST STE 307
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2955
Mailing Address - Country:US
Mailing Address - Phone:402-979-8350
Mailing Address - Fax:
Practice Address - Street 1:1941 S 42ND ST STE 307
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2955
Practice Address - Country:US
Practice Address - Phone:402-979-8350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-2181101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)