Provider Demographics
NPI:1891585907
Name:HANKINSON, STEPHANIE BRIANNA
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:BRIANNA
Last Name:HANKINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 LUCILLE DR
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-2685
Mailing Address - Country:US
Mailing Address - Phone:706-741-3187
Mailing Address - Fax:
Practice Address - Street 1:229 HIGHWAY 41 N
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30204-3209
Practice Address - Country:US
Practice Address - Phone:678-359-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician