Provider Demographics
NPI:1164622171
Name:HNATH, JANICE HELENE (LCAT)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:HELENE
Last Name:HNATH
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-2601
Mailing Address - Country:US
Mailing Address - Phone:631-757-4473
Mailing Address - Fax:
Practice Address - Street 1:1529 149TH ST
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-2550
Practice Address - Country:US
Practice Address - Phone:718-224-3947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000239101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor