Healthcare Provider Details

I. General information

NPI: 1447235361
Provider Name (Legal Business Name): HANK S LERNER M. ED., NCC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 11/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

674 PROSPECT AVE
HARTFORD CT
06105-4288
US

IV. Provider business mailing address

37 MIDDLEFIELD DR
WEST HARTFORD CT
06107-1245
US

V. Phone/Fax

Practice location:
  • Phone: 860-236-4295
  • Fax:
Mailing address:
  • Phone: 860-232-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number00010
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000010
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number000010
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: