Provider Demographics
NPI:1225028145
Name:HANSON, JOY A (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:A
Last Name:HANSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 HEMLOCK LN N SUITE 108
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-5576
Mailing Address - Country:US
Mailing Address - Phone:763-533-5339
Mailing Address - Fax:763-390-0863
Practice Address - Street 1:7200 HEMLOCK LN N SUITE 108
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-5576
Practice Address - Country:US
Practice Address - Phone:763-533-5339
Practice Address - Fax:763-390-0862
Is Sole Proprietor?:No
Enumeration Date:2005-10-22
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1240106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1240OtherLMFT LICENSE NUMBER
MN157G1HAOtherBCBS MN ID NUMBER
MN387107000Medicaid