Provider Demographics
NPI:1144926247
Name:BAYVIEW COUNSELING LLC KAREN HANSEN SOLE MBR
Entity type:Organization
Organization Name:BAYVIEW COUNSELING LLC KAREN HANSEN SOLE MBR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LADC
Authorized Official - Phone:207-370-5006
Mailing Address - Street 1:PO BOX 153
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04843-0153
Mailing Address - Country:US
Mailing Address - Phone:207-370-5006
Mailing Address - Fax:877-470-9719
Practice Address - Street 1:62 BAYVIEW STREET
Practice Address - Street 2:#22
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-0484
Practice Address - Country:US
Practice Address - Phone:207-370-5006
Practice Address - Fax:877-470-9719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty