Individual
MS. LOLITA M. HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LMHC, LADC-I
Contact information
Practice address
125 LIBERTY ST, SPRINGFIELD, MA 01103-1114
(347) 458-0085
Mailing address
5 HICKOX ST, SPRINGFIELD, MA 01104-3746
(347) 458-0085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13340
MA
101YM0800X
Mental Health Counselor
10113
MA
101YP2500X
Professional Counselor
10113
MA
103TC0700X
Clinical Psychologist
Primary
10856
MA
103TC1900X
Counseling Psychologist
10856
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295 (MH)
—
MA
05
—
1307576 (SA)
—
MA
01
—
M18463
BLUE CROSS / BLUE SHIELD
—
Enumeration date
12/06/2010
Last updated
07/16/2019
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