Individual
MARY STAR HANNIFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014289
GA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/11/2016
Last updated
03/17/2025
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