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Andrea D Hanson Lcmhc PLLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Bountiful, UT

NPI 1104436559 · NPPES record last updated Jul 31, 2020

Key facts

NPI
1104436559
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
ANDREA D HANSON LCMHC PLLC
Practice address
11 W 2750 S
Bountiful, UT 84010-6418
Phone
(801) 928-4833
NPI assigned
Jul 31, 2020
Organization subpart
No

Authorized official

Name
Andrea D Hanson, LCMHC
Title
Owner and Therapist
Phone
(385) 355-4505

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

11 W 2750 S
Bountiful, UT 84010-6418

Mailing address

11 W 2750 S
Bountiful, UT 84010-6418
Phone (801) 928-4833

Other names

  • AEVI Interoceptive Wellness Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address andrea@aeviwellness.org Direct

Other providers in Bountiful, UT

All providers in Bountiful, UT · Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

Sources for this page

Verify at the official NPI Registry.