Provider Demographics
NPI:1689494874
Name:HANNINGS, KRISTIN LYNN (LPC)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:LYNN
Last Name:HANNINGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 W MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-3507
Mailing Address - Country:US
Mailing Address - Phone:610-716-7637
Mailing Address - Fax:
Practice Address - Street 1:1259 ROUTE 113
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-3537
Practice Address - Country:US
Practice Address - Phone:484-447-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017741101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty