Provider Demographics
NPI:1518753060
Name:HALLMAN, LANEY MAE
Entity type:Individual
Prefix:
First Name:LANEY
Middle Name:MAE
Last Name:HALLMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LANEY
Other - Middle Name:MAE
Other - Last Name:HUSMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8543 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:NORTH
Mailing Address - State:SC
Mailing Address - Zip Code:29112-8470
Mailing Address - Country:US
Mailing Address - Phone:850-353-1717
Mailing Address - Fax:
Practice Address - Street 1:8543 NORTH RD
Practice Address - Street 2:
Practice Address - City:NORTH
Practice Address - State:SC
Practice Address - Zip Code:29112-8470
Practice Address - Country:US
Practice Address - Phone:850-353-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician