Provider Demographics
NPI:1780221887
Name:3C HANSONS
Entity Type:Organization
Organization Name:3C HANSONS
Other - Org Name:CANOPY MENTAL HEALTH & CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:612-712-7200
Mailing Address - Street 1:6625 LYNDALE AVE S STE 440
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2380
Mailing Address - Country:US
Mailing Address - Phone:612-712-7200
Mailing Address - Fax:
Practice Address - Street 1:6625 LYNDALE AVE S STE 440
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2380
Practice Address - Country:US
Practice Address - Phone:612-712-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-08
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty