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Andrea D Hanson Lcmhc PLLC — NPI 1104436559, Bountiful, UT | NPI Central

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NPI 1104436559

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Andrea D Hanson Lcmhc PLLC

NPI 1104436559 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bountiful, UT

Provider details

NPI number: 1104436559
Entity type: Organization
Primary specialty: Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Andrea Hanson, Owner and Therapist(385) 355-4505

Specialties & taxonomies

Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801X
Ambulatory Health Care Facilities
Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Adolescent and Children Mental Health Clinic/Center261QM0855X
Ambulatory Health Care Facilities
Professional Counselor101YP2500X
Behavioral Health & Social Service Providers

Practice location

11 W 2750 S

Bountiful, UT 84010-6418

Phone: (801) 928-4833

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

11 W 2750 S

Bountiful, UT 84010-6418

Other names (DBA / former)

Doing business as: Aevi Interoceptive Wellness

Registry dates

Enumerated: 2020-07-31
Last updated: 2020-07-31
Certified: 2020-07-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.