Hansen, Amy K

Hansen, Amy K is an sole proprietor health care provider with primary practice located at 11200 Broadway St Ste 2743 , Pearland TX 77584-9787. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hansen, Amy K can be contacted via phone (346) 204-2955.

Contact Information

Primary practice address
11200 Broadway St Ste 2743 Pearland TX 77584-9787
Phone: (346) 204-2955
Fax: (832) 534-4147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11926 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 68843 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 68843 Texas

Profile Details

NPI number 1477847952
LBN Legal business name Hansen, Amy K
Credentials LPC, LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2011
Last updated Feb 12th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477847952 NPPES
Texas MEDICAID 3290637-02

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