Provider Demographics
NPI:1336280098
Name:MCKNIGHT HANSEN, HELEN URSULA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:URSULA
Last Name:MCKNIGHT HANSEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:URSULA
Other - Middle Name:MCKNIGHT
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:402 W. LAMAR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090
Mailing Address - Country:US
Mailing Address - Phone:903-436-5370
Mailing Address - Fax:888-848-8021
Practice Address - Street 1:402 W. LAMAR
Practice Address - Street 2:SUITE 103
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-436-5370
Practice Address - Fax:888-848-8021
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27693104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87190QOtherBCBS
TX071342202Medicaid