Provider Demographics
NPI:1063085165
Name:NATALIE HANSON COUNSELING LLC
Entity type:Organization
Organization Name:NATALIE HANSON COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-395-0118
Mailing Address - Street 1:8415 N PELICAN LN
Mailing Address - Street 2:
Mailing Address - City:RIVER HILLS
Mailing Address - State:WI
Mailing Address - Zip Code:53217-2059
Mailing Address - Country:US
Mailing Address - Phone:262-977-0119
Mailing Address - Fax:
Practice Address - Street 1:6789 N GREEN BAY AVE # M2-T2
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53209-3472
Practice Address - Country:US
Practice Address - Phone:414-395-0118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty