Organization
PL HANSEN COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP LOUIS HANSEN LCSW (CLINICAL SOCIAL WORKER)
(801) 944-1666
Entity
Organization
Contact information
Practice address
8184 S HIGHLAND DR, SUITE C-8, SANDY, UT 84093-6477
(801) 944-1666
(801) 944-1698
Mailing address
8184 S HIGHLAND DR, SUITE C-8, SANDY, UT 84093-6477
(801) 944-1666
(801) 944-1698
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
139806-3501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11416122
AETNA
UT
01
—
264612
MHN
—
01
—
35627
RELIANT BEHAVIORAL HEALTH
UT
05
—
76387C
—
UT
01
—
IP308254
MAGELLAN
UT
Enumeration date
09/17/2013
Last updated
09/17/2013
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