Individual
ELLEN HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-P, LCMHC-A
Contact information
Practice address
7489 ROCKFISH RD, RAEFORD, NC 28376-6131
(910) 584-6739
(833) 260-0543
Mailing address
7489 ROCKFISH RD, RAEFORD, NC 28376-6131
(910) 584-6739
(833) 260-0543
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A14813
NC
101YM0800X
Mental Health Counselor
Primary
A14813
NC
103TP2701X
Group Psychotherapy Psychologist
—
—
221700000X
Art Therapist
19-055
—
Other
Enumeration date
07/28/2020
Last updated
03/10/2021
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