DEBORAH D. HANNA LCSW PA (NPI# 1366684631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366684631 |
Entity Type | Organization |
Organization Name | DEBORAH D. HANNA LCSW PA |
Practice Address |
100 Executive Way Suite 113 Ponte Vedra Beach FL 32082-2715 |
Mailing Address |
Po Box 721 Ponte Vedra Beach FL 32004-0721 |
Practice Telephone | 9042736747 |
Practice Fax Number | 9042736861 |
Mailing Telephone | 9042736747 |
Mailing Fax Number | 9042736861 |
Enumeration Date | 2009-04-01 |
Last Update Date | 2009-04-01 |
Authorized Official Name | MS. DEBORAH D HANNA (OWNER) |
Authorized Official Telephone | 9042736747 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Street Address |
100 EXECUTIVE WAY SUITE 113 |
City | PONTE VEDRA BEACH |
State | FL |
Zip Code | 32082-2715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225445521 | Cora Health Services Inc. | Clinic/Center | 100 Executive Way, Suite 109, Ponte Vedra Beach, FL 32082-2715 | 2014-07-18 |
1679831986 | Brittany Alison Daley | Physical Therapist | 100 Executive Way, Suite 109, Ponte Vedra Beach, FL 32082-2715 | 2012-04-25 |
1184996704 | Naomi T. Jacobs, Ph.d., P.a. | Psychologist | 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082-2715 | 2012-01-27 |
1033413364 | New Connections Counseling & Consulting LLC | Counselor | 100 Executive Way, #206, Ponte Vedra Beach, FL 32082-2715 | 2010-12-30 |
1215163191 | Joshua G Schmitt | Physical Therapist | 100 Executive Way, Suite 109, Ponte Vedra Beach, FL 32082-2715 | 2009-06-05 |
1750595799 | Cindy L Richetti | Counselor | 100 Executive Way, Ponte Vedra Beach, FL 32082-2715 | 2007-05-09 |
1033208996 | Deborah D. Hanna | Social Worker | 100 Executive Way, Suite 113, Ponte Vedra Beach, FL 32082 | 2006-10-11 |
1518067644 | Physical Therapy Works LLC | Clinic/Center | 100 Executive Way, Suite 109, Ponte Vedra Beach, FL 32082-2715 | 2006-09-25 |
1275641110 | Naomi Jacobs | Psychologist | 100 Executive Way, Suite 207, Ponte Vedra Beach, FL 32082-2715 | 2006-08-29 |
1366558389 | Cynthia Geddes | Social Worker | 100 Executive Way, Suite 113, Ponte Vedra Beach, FL 32082-2715 | 2006-08-22 |
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1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1366089229 | Connections Support Services LLC | Clinic/Center | 44 Weston Cir, Ponte Vedra Beach, FL 32081-0650 | 2019-12-10 |
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1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
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City | PONTE VEDRA BEACH |
Zip Code | 32082 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.