Healthcare Provider Details
I. General information
NPI: 1467258954
Provider Name (Legal Business Name): HANLON THERAPY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2025
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3011 SIR CHARLES DR
MC DONALD PA
15057-4840
US
IV. Provider business mailing address
3011 SIR CHARLES DR
MC DONALD PA
15057-4840
US
V. Phone/Fax
- Phone: 412-980-8647
- Fax: 412-204-7973
- Phone: 412-980-8647
- Fax: 412-204-7973
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
HANLON
Title or Position: DIRECTOR/OWNER
Credential: MS, BSL
Phone: 412-980-8647