Provider Demographics
NPI:1225906761
Name:HANSEN PSYCHIATRIC WELLNESS PLLC
Entity type:Organization
Organization Name:HANSEN PSYCHIATRIC WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, APRN, PMHNP-BC
Authorized Official - Phone:508-450-0428
Mailing Address - Street 1:463 WASHINGTON ST OFC 1
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-2745
Mailing Address - Country:US
Mailing Address - Phone:603-333-1490
Mailing Address - Fax:802-200-5623
Practice Address - Street 1:463 WASHINGTON ST OFC 1
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-2745
Practice Address - Country:US
Practice Address - Phone:603-333-1490
Practice Address - Fax:802-200-5623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty