Provider Demographics
NPI:1306682380
Name:HANAU, HOLLIN RANSON (LMHC-LP)
Entity type:Individual
Prefix:
First Name:HOLLIN
Middle Name:RANSON
Last Name:HANAU
Suffix:
Gender:F
Credentials:LMHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-1618
Mailing Address - Country:US
Mailing Address - Phone:914-308-0444
Mailing Address - Fax:
Practice Address - Street 1:1216 BROADWAY FL 100012
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4483
Practice Address - Country:US
Practice Address - Phone:646-488-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP129261101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor