Provider Demographics
NPI:1144417114
Name:HANNIGAN, ANN S (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:S
Last Name:HANNIGAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CHAMPION TRL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4808
Mailing Address - Country:US
Mailing Address - Phone:210-481-3462
Mailing Address - Fax:
Practice Address - Street 1:8555 E LOOP 1604 N
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-2915
Practice Address - Country:US
Practice Address - Phone:210-659-1901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59920101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional