Provider Demographics
NPI:1649931601
Name:MILLER, HANNAH GERVAIS (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:GERVAIS
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-8730
Mailing Address - Country:US
Mailing Address - Phone:843-580-7925
Mailing Address - Fax:
Practice Address - Street 1:1037 CHUCK DAWLEY BLVD STE D-209
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4146
Practice Address - Country:US
Practice Address - Phone:843-580-7529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7782101YM0800X
SC9439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty