SHANNON CARLTON HARTLEY BA
NPI 1629141312
Counselor - Mental Health in Laconia, NH
Active since November 17, 2006
About Shannon Carlton Hartley Ba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON CARLTON HARTLEY BA (NPI 1629141312) is an individual mental health provider in Laconia, New Hampshire and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1629141312
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON CARLTON HARTLEYCredential: BA
Location Address111 CHURCH STLaconia, NH 03246-3432
Mailing AddressPo Box 507, 6 Birch DriveAshland, NH 03217-0507
Phone(603) 524-1100
Sole ProprietorNo
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629141312 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
111 CHURCH ST, Laconia, NH 03246
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629141312, enumerated as an "individual" on November 17, 2006.
The provider is located at 111 CHURCH ST LACONIA, NH 03246 and the phone number is (603) 524-1100.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.