Provider Demographics
NPI:1891888459
Name:HANSEN FAMILY SERVICES INC
Entity Type:Organization
Organization Name:HANSEN FAMILY SERVICES INC
Other - Org Name:ACCESS LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:208-922-2207
Mailing Address - Street 1:690 S INDUSTRY WAY
Mailing Address - Street 2:SUITE 45
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642
Mailing Address - Country:US
Mailing Address - Phone:208-922-2207
Mailing Address - Fax:208-922-4168
Practice Address - Street 1:690 S INDUSTRY WAY
Practice Address - Street 2:SUITE 45
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642
Practice Address - Country:US
Practice Address - Phone:208-922-2207
Practice Address - Fax:208-922-4168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty