Provider Demographics
NPI:1609508696
Name:HANSEN, BRANDI MAY (LCSWA)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:MAY
Last Name:HANSEN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ARTFUL WAY UNIT 223
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-0220
Mailing Address - Country:US
Mailing Address - Phone:800-632-1400
Mailing Address - Fax:
Practice Address - Street 1:3212 HICKORY HILL RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-1233
Practice Address - Country:US
Practice Address - Phone:828-273-6045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0152711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical