Provider Demographics
NPI:1861230773
Name:NEEL, HANNAH MICHELE
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MICHELE
Last Name:NEEL
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 1:6443 BRISTOL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33811-4046
Mailing Address - Country:US
Mailing Address - Phone:863-255-0353
Mailing Address - Fax:
Practice Address - Street 1:2700 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-3863
Practice Address - Country:US
Practice Address - Phone:863-220-1205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician