Provider Demographics
NPI:1306151576
Name:HANAWAY, CHERYL LYNN (LPC, CADC-CS)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:HANAWAY
Suffix:
Gender:F
Credentials:LPC, CADC-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3132 WILMINGTON RD STE 4
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1180
Mailing Address - Country:US
Mailing Address - Phone:724-856-4040
Mailing Address - Fax:
Practice Address - Street 1:3132 WILMINGTON RD STE 4
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1180
Practice Address - Country:US
Practice Address - Phone:724-856-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001667101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102690880-0002Medicaid