Lawrence David Hanelly in Bellwood - Addiction (substance Use Disorder)

Lawrence David Hanelly - NPI 1235292079

Lawrence David Hanelly is a Addiction (substance Use Disorder) in Bellwood, Pennsylvania. Lawrence David Hanelly practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lawrence David Hanelly is 1235292079. The last update date is 2009-01-06.

Lawrence David Hanelly's current location address is 602 East Fifth Street, Bellwood, Pennsylvania. You can contact this provider via phone number 8147421216 and fax number 8149499345. The mailing address for Lawrence David Hanelly is 602 East Fifth Street, Bellwood, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Lawrence David Hanelly
Address 602 East Fifth Street, Bellwood, Pennsylvania
Phone Number 8147421216
Fax Number 8149499345
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1235292079
Provider Enumeration Date 2006-12-19
Last Updated Date 2009-01-06

Provider Mailing Address Detail

Address 602 East Fifth Street
City Bellwood
State Pennsylvania (PA)
Post Code 166172015
Phone Number 8147421216
Fax Number 8149499345

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LPC000280
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
105602 PA --

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FAQs about Lawrence David Hanelly

What is the unique 10-digit identifier code issued to Lawrence David Hanelly by the Centers for Medicare & Medicaid Services?

The Lawrence David Hanelly has been assigned the NPI (National Provider Identifier) 1235292079 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Lawrence David Hanelly's facilities are geographically located?

The facilities of Lawrence David Hanelly are physically situated at the following location: 602 East Fifth Street, Bellwood, PA, 166172015.

What is Lawrence David Hanelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lawrence David Hanelly's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.

On what date did the Lawrence David Hanelly receive the assignment of its 1235292079 from the Centers for Medicare & Medicaid Services?

The Lawrence David Hanelly was issued its 1235292079 by the Centers for Medicare & Medicaid Services on 2006-12-19.

When was the information pertaining to Lawrence David Hanelly most recently updated or revised?

The details related to Lawrence David Hanelly, including its address, specialty, and other relevant information, were last updated or revised on 2009-01-06.

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