Provider Demographics
NPI:1093507212
Name:COLLIER, HANNAH A
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:A
Last Name:COLLIER
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 1:1841 MARIETTA BLVD NW STE M
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2849
Mailing Address - Country:US
Mailing Address - Phone:470-659-7304
Mailing Address - Fax:
Practice Address - Street 1:1841 MARIETTA BLVD NW STE M
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2849
Practice Address - Country:US
Practice Address - Phone:470-659-7304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA174H00000X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No171400000XOther Service ProvidersHealth & Wellness Coach