Healthcare Provider Details

I. General information

NPI: 1851146799
Provider Name (Legal Business Name): BRIANA A LENNON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 COUNTRY PLACE LN
WHITE HAVEN PA
18661-3028
US

IV. Provider business mailing address

108 COUNTRY PLACE LN
WHITE HAVEN PA
18661-3028
US

V. Phone/Fax

Practice location:
  • Phone: 267-407-0081
  • Fax: 267-407-0081
Mailing address:
  • Phone: 267-407-0081
  • Fax: 267-407-0081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017068
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: