| Doctor Name: | MR. LAWRENCE DAVID HANELLY |
| NPI Number: | 1235292079 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | PC000280 |
| Business Practice Address: | 809 Route 764 Duncansville, PA - 16635 |
| Business Phone Number: | 8142153766 |
| Business Fax Number: | 8149499345 |
| Mailing Address: | 602 East Fifth Street, BELLWOOD |
| State: | PA |
| Postal Code: | 166172015 |
| Phone Number: | 8147421216 |
| Fax Number: | 8149499345 |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 01/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | PC000280 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |