Healthcare Provider Details

I. General information

NPI: 1306503313
Provider Name (Legal Business Name): GINGER HANNIGAN MA LMHC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2021
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 1ST AVE S
SAINT PETERSBURG FL
33707-1103
US

IV. Provider business mailing address

7301 1ST AVE S
SAINT PETERSBURG FL
33707-1103
US

V. Phone/Fax

Practice location:
  • Phone: 727-424-6199
  • Fax:
Mailing address:
  • Phone: 727-424-6199
  • Fax: 727-623-9045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: GINGER HANNIGAN
Title or Position: PRESIDENT/CLINICAL DIRECTOR
Credential: LMHC
Phone: 727-424-6199