Hansen Hearts Counseling, Pllc | |
3309 Fiechtner Dr S Ste H Fargo ND 58103-2375 | |
(701) 239-2567 | |
(701) 403-8003 |
Full Name | Hansen Hearts Counseling, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3309 Fiechtner Dr S Ste H, Fargo, North Dakota |
Authorized Official Name and Position | Tracy Hansen (OWNER) |
Authorized Official Contact | 7013618870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hansen Hearts Counseling, Pllc 3519 Pierce St S Fargo ND 58104-7506 Ph: (701) 361-8870 | Hansen Hearts Counseling, Pllc 3309 Fiechtner Dr S Ste H Fargo ND 58103-2375 Ph: (701) 239-2567 |
NPI Number | 1609362888 |
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Provider Enumeration Date | 07/10/2018 |
Last Update Date | 07/10/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609362888 | NPI | - | NPPES |
1470012 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 84261515 (North Dakota) | Primary |
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