Provider Demographics
NPI:1245783059
Name:HANSON, SABRINA L (LPCC, LICDC)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:L
Last Name:HANSON
Suffix:
Gender:F
Credentials:LPCC, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5709 N HILLS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76117-2825
Mailing Address - Country:US
Mailing Address - Phone:740-424-0876
Mailing Address - Fax:
Practice Address - Street 1:2217 MARTIN DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6247
Practice Address - Country:US
Practice Address - Phone:740-424-0876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0500664101YP1600X
OHE.1801006101YP2500X
TX81692101YM0800X
OHCDCA.160979-PRE101YA0400X
OHLICDC.161560101YA0400X
OHC.0500664101YA0400X, 101YM0800X
TX14958101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)