# WILLIAM J. HANSHAW, LMFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053712406
- **Authorized official:** WILLIAM JOHN HANSHAW LMFT (LMFT / OWNER)
- **Authorized official phone:** (270) 782-7156

## Contact information

- **Practice address:** 1209 SMALLHOUSE RD, BOWLING GREEN, KY 42104-3263
- **Practice address phone:** (270) 782-7156
- **Practice address fax:** (270) 782-7156
- **Mailing address:** 1209 SMALLHOUSE RD, BOWLING GREEN, KY 42104-3263
- **Mailing address phone:** (270) 782-7156
- **Mailing address fax:** (270) 782-7156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | LPC0000000029 | TN | — |
| 106H00000X | Marriage & Family Therapist | KY-0132 | KY | Yes |
| 106H00000X | Marriage & Family Therapist | LMT0000000094 | TN | — |

## Other

- **Enumeration date:** 09/04/2014
- **Last updated:** 09/04/2014