Provider Demographics
NPI:1699899864
Name:HANKTON, CHARLES LAMONT (LPCC)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:LAMONT
Last Name:HANKTON
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5593 CARLTON DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2329
Mailing Address - Country:US
Mailing Address - Phone:440-232-3128
Mailing Address - Fax:
Practice Address - Street 1:5593 CARLTON DR
Practice Address - Street 2:
Practice Address - City:BEDFORD HTS
Practice Address - State:OH
Practice Address - Zip Code:44146-2329
Practice Address - Country:US
Practice Address - Phone:440-232-3128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0003897322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children