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NPI Code Detail

MEDICARE: MS. LIBBY VIRGINIA HANLEY LCPC

MEDICARE: MS. LIBBY VIRGINIA HANLEY LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorCC4021ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000744813OTHERMTBCBS PRE-LICENSED PROF

General Provider Information

NPI Number : 1215946678
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LIBBY VIRGINIA HANLEY LCPC
Provider Business Mailing Address
First Line : 268 STILLWATER AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-3945
Country : US
Telephone Number : 207-973-6100
Fax Number :
Provider Business Practice Location Address
First Line : 268 STILLWATER AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-3945
Country : US
Telephone Number : 207-973-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 02/26/2026

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