ANDREA D HANSON LCMHC PLLC
NPI 1104436559
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bountiful, UT

Active since July 31, 2020
11 W 2750 S, BOUNTIFUL, UT 84010(801) 928-4833 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea D Hanson Lcmhc Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA D HANSON LCMHC PLLC (NPI 1104436559), doing business as Aevi Interoceptive Wellness, is a healthcare organization registered as a mental health (including community mental health center) in Bountiful, Utah and active in the NPI registry since July 2020. The organization lists Andrea D Hanson, Owner And Therapist, as its authorized official.

NPPES Registry Identity

NPI1104436559
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameANDREA D HANSON LCMHC PLLC
Location Address11 W 2750 SBountiful, UT 84010-6418
Mailing Address11 W 2750 SBountiful, UT 84010-6418 · (801) 928-4833
Organization SubpartNo
Authorized OfficialAndrea D HansonOwner And Therapist · (385) 355-4505
Enumeration DateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
NPI 1104436559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
11 W 2750 S, Bountiful, UT 84010

Other Names 1

Doing Business AsAevi Interoceptive Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
11 W 2750 S
BOUNTIFUL, UT 84010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea D Hanson Lcmhc PLLC's NPI number?

The NPI number for Andrea D Hanson Lcmhc PLLC is 1104436559. It was assigned to this organization in the NPPES registry on July 31, 2020. The provider is doing business as AEVI Interoceptive Wellness.

Where is Andrea D Hanson Lcmhc PLLC located?

Andrea D Hanson Lcmhc PLLC is located at 11 W 2750 S, Bountiful, UT 84010. The listed phone number is (801) 928-4833.

What is Andrea D Hanson Lcmhc PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Andrea D Hanson Lcmhc PLLC was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.