Provider Demographics
NPI:1134785611
Name:HAUN, GLENN A (LMHC)
Entity type:Individual
Prefix:
First Name:GLENN
Middle Name:A
Last Name:HAUN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WARD PL
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3526
Mailing Address - Country:US
Mailing Address - Phone:914-475-7589
Mailing Address - Fax:
Practice Address - Street 1:6 WARD PL
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-3526
Practice Address - Country:US
Practice Address - Phone:914-475-7589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-10
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY34712101YA0400X
NY015026101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY015026OtherLMHC
NY34712OtherOASAS