Provider Demographics
NPI:1306735782
Name:CAROL L HANSEN LPC PLLC
Entity type:Organization
Organization Name:CAROL L HANSEN LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:231-667-0473
Mailing Address - Street 1:15943 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MI
Mailing Address - Zip Code:49665-8287
Mailing Address - Country:US
Mailing Address - Phone:231-388-3606
Mailing Address - Fax:
Practice Address - Street 1:2604 SUNNYSIDE DR STE 203&205
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-8749
Practice Address - Country:US
Practice Address - Phone:231-667-0473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health