Provider Demographics
NPI:1689911950
Name:LEROY HARVEY HANKINS
Entity Type:Organization
Organization Name:LEROY HARVEY HANKINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LEROY
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:II
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-739-9342
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-0099
Mailing Address - Country:US
Mailing Address - Phone:914-739-9342
Mailing Address - Fax:184-523-1614
Practice Address - Street 1:5 CLIFF ST
Practice Address - Street 2:2ND FL.
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-2701
Practice Address - Country:US
Practice Address - Phone:914-739-9342
Practice Address - Fax:845-231-6144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR057481-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty