ILA HANSEN LPC
NPI 1225735665
Counselor - Mental Health in Blackfoot, ID
Active since February 15, 2023
About Ila Hansen Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILA HANSEN LPC (NPI 1225735665) is an individual mental health provider in Blackfoot, Idaho, licensed in Idaho (LPC-9328) and active in the NPI registry since February 2023.
NPPES Registry Identity
NPI1225735665
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameILA HANSENCredential: LPC
Location Address60 N BROADWAY STBlackfoot, ID 83221-2706
Mailing Address60 N Broadway StBlackfoot, ID 83221-2706 · (208) 782-3434
Phone(208) 782-3434
Sole ProprietorNo
Enumeration DateFebruary 15, 2023
NPPES CertifiedFebruary 15, 2023
✔ NPI 1225735665 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LPC-9328
60 N BROADWAY ST, Blackfoot, ID 83221
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225735665, enumerated as an "individual" on February 15, 2023.
The provider is located at 60 N BROADWAY ST BLACKFOOT, ID 83221 and the phone number is (208) 782-3434.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.