Hanson, Mindy Kaye

Hanson, Mindy Kaye is an individual health care provider with primary practice located at 1115 Harbor Rd , Grove OK 74344-3505. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Hanson, Mindy Kaye can be contacted via phone (918) 786-4434.

Contact Information

Primary practice address
1115 Harbor Rd Grove OK 74344-3505
Phone: (918) 786-4434
Fax: (918) 786-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1609297811
LBN Legal business name Hanson, Mindy Kaye
Credentials BHCM II
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2013
Last updated Jan 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609297811 NPPES
Oklahoma MEDICAID 100683440

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