Provider Demographics
NPI:1659255982
Name:VANLANINGHAM, HAUNAH MICHELLE
Entity type:Individual
Prefix:
First Name:HAUNAH
Middle Name:MICHELLE
Last Name:VANLANINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 S HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:SMITHTON
Mailing Address - State:IL
Mailing Address - Zip Code:62285-1819
Mailing Address - Country:US
Mailing Address - Phone:618-233-6863
Mailing Address - Fax:
Practice Address - Street 1:316 S HICKORY ST
Practice Address - Street 2:
Practice Address - City:SMITHTON
Practice Address - State:IL
Practice Address - Zip Code:62285-1819
Practice Address - Country:US
Practice Address - Phone:618-233-6863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1501088171041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool