Organization
HANNAH EXECUTIVE GROUP, LLC
Active
Parent organization
HANNAH EXECUTIVE GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANNAH EXECUTIVE GROUP
Authorized official
KENYOTTA HANNAH LPC (CEO)
(404) 964-0906
Entity
Organization
Contact information
Practice address
1514 CLEVELAND AVENUE, EAST POINT, GA 30344
(404) 462-4779
(877) 268-1293
Mailing address
PO BOX 33, DOVER, GA 30424
(404) 462-4779
(877) 268-1292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
08/27/2021
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