Organization
LIFE MANAGEMENT RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED J HANSEN PH.D., LPC (CEO)
(972) 985-7565
Entity
Organization
Contact information
Practice address
5068 W PLANO PKWY STE 134, PLANO, TX 75093-4440
(972) 985-7565
(888) 664-0571
Mailing address
5068 W PLANO PKWY STE 134, PLANO, TX 75093-4440
(972) 985-7565
(888) 664-0571
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
3049/3050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065518501
—
TX
Enumeration date
09/15/2006
Last updated
02/10/2023
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