Provider Demographics
NPI:1972721991
Name:HANKO, HEATHER (LCPC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HANKO
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:LIGHTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1325 QUINCY ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2615
Mailing Address - Country:US
Mailing Address - Phone:202-526-4445
Mailing Address - Fax:202-526-7401
Practice Address - Street 1:133 CENTERWAY
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1802
Practice Address - Country:US
Practice Address - Phone:202-526-4445
Practice Address - Fax:202-526-7401
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3378101YP2500X
MDLGP340101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor