Provider Demographics
NPI:1235355827
Name:HENNESSY, MARGARET (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:HENNESSY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 CEMETERY RD
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-2404
Mailing Address - Country:US
Mailing Address - Phone:724-794-6092
Mailing Address - Fax:
Practice Address - Street 1:216 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5241
Practice Address - Country:US
Practice Address - Phone:724-284-4894
Practice Address - Fax:724-283-8080
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000721101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional