DEBORAH D. HANNA LCSW PA


Address: 100 Executive Way, Suite 113, Ponte Vedra Beach, FL 32082-2715
Phone: 9042736747

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 100 EXECUTIVE WAY
SUITE 113
City PONTE VEDRA BEACH
State FL
Zip Code 32082-2715

Providers in the same location

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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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518576818 Specialty Eye Surgeons, Pa Ophthalmology 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 2020-07-23
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 Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366089229 Connections Support Services LLC Clinic/Center 44 Weston Cir, Ponte Vedra Beach, FL 32081-0650 2019-12-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073114823 Community Behavior Care LLC Clinic/Center 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 2020-11-06
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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Competitor

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City PONTE VEDRA BEACH
Zip Code 32082

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Dataset Information

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.

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