Provider Demographics
NPI:1871054197
Name:MCGOEY, HANNA K (LMHC)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:K
Last Name:MCGOEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 NE 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-2915
Mailing Address - Country:US
Mailing Address - Phone:561-212-1590
Mailing Address - Fax:888-377-1496
Practice Address - Street 1:435 NE 6TH ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-2915
Practice Address - Country:US
Practice Address - Phone:561-212-1590
Practice Address - Fax:888-377-1496
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2024-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
84268OtherAVAILITY ID
FLZ8455OtherBLUE CROSS
FLLICENSEOtherMH4349