Provider Demographics
NPI:1184865990
Name:HANNA, LAURA F (MA, LPC, NCC, LLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:F
Last Name:HANNA
Suffix:
Gender:F
Credentials:MA, LPC, NCC, LLP
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:F
Other - Last Name:KULHANEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, NCC,LLP
Mailing Address - Street 1:3100 NE 83RD STREET
Mailing Address - Street 2:SUITE#1001
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64119
Mailing Address - Country:US
Mailing Address - Phone:816-468-0400
Mailing Address - Fax:
Practice Address - Street 1:3100 NE 83RD STREET
Practice Address - Street 2:SUITE#1001
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64119
Practice Address - Country:US
Practice Address - Phone:816-468-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301013911103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI774349006Medicaid