Provider Demographics
NPI:1346883972
Name:HANNING, JENNY LEIGH (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:LEIGH
Last Name:HANNING
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:LEIGH
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:3331 LUELLA BLVD APT 1307
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-3682
Mailing Address - Country:US
Mailing Address - Phone:713-816-2024
Mailing Address - Fax:
Practice Address - Street 1:6021 FAIRMONT PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-4511
Practice Address - Country:US
Practice Address - Phone:281-769-2238
Practice Address - Fax:281-769-2164
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-27
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75627101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty