Individual provider · Type 1 NPI

Edward Thomas Hanley, MHC

Mental Health Counselor · Lake Grove, NY

NPI number 1457071680 Active

Practice location

2233 Nesconset Hwy
Lake Grove, NY 11755-1000

Fax (631) 256-5229

Mailing address

274 Bayview Ave
Massapequa, NY 11758-8005

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457071680

Edward Thomas Hanley, MHC's National Provider Identifier is 1457071680, issued on Aug 29, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Grove, NY. The record was last updated on Aug 29, 2022.