MRS. CANDACE LATANYA HANSON (NPI# 1376089532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376089532 |
| Entity Type | Individual |
| Full Name | MRS. CANDACE LATANYA HANSON |
| Credential | M.A., LPCC |
| Practice Address |
109 N Shore Dr Waverly MN 55390-5517 |
| Mailing Address |
1831 Pennsylvania Ave S St Louis Park MN 55426-2042 |
| Practice Telephone | 7636585810 |
| Mailing Telephone | 9187701672 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1212 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023543998 | Candace Hanson | Counselor | 309 N Parkerson Ave, Crowley, LA 70526-5046 | 2017-04-27 |
| 1306291661 | Candace Hanson | Marriage & Family Therapist | 1303 S Frontage Rd, Hastings, MN 55033-2483 | 2016-04-24 |
| 1932585619 | Candace Hanson | Psychologist | 41 W 5th Ave, Williamson, WV 25661-3201 | 2015-08-05 |
| 1356314561 | Candace Jane Hanson | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center Attn:mchk-qs, Tripler Amc, HI 96859-5001 | 2006-02-08 |
| Street Address |
109 N SHORE DR |
| City | WAVERLY |
| State | MN |
| Zip Code | 55390-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003914656 | New Beginings At Waverly, LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390-5517 | 2006-09-20 |
| 1134630734 | New Beginnings Minnesota LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390 | 2017-10-23 |
| 1386155901 | New Beginnings Waverly LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390-5517 | 2017-10-23 |
| 1831413921 | New Beginnings At Waverly, LLC | Community/Behavioral Health | 109 N Shore Dr, Waverly, MN 55390-5517 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255728366 | Doty Mosford | Homeopath | 505 Maple Ave, Waverly, MN 55390 | 2015-04-16 |
| 1831227214 | Adjust To Wellness, Pllc | Chiropractor | 202 5t Street N, Waverly, MN 55390 | 2007-02-28 |
| 1881721538 | Sarah Suzann Bartosch | Chiropractor | 202 5th Street N, Waverly, MN 55390 | 2007-02-28 |
| 1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
| 1831590124 | Andrea Zitzloff | Massage Therapist | 5258 20th St Sw, Waverly, MN 55390-5024 | 2014-09-06 |
| 1033556576 | April Marie Westermann | Physical Therapy Assistant | 4875 25th St Sw, Waverly, MN 55390-5025 | 2013-05-23 |
| 1336469774 | Cindy Grangroth | Respite Care | 5244 25th St Sw, Waverly, MN 55390-5025 | 2010-06-08 |
| 1053779769 | Amanda Decker | Licensed Practical Nurse | 3102 25th St Sw, Waverly, MN 55390-5043 | 2016-02-09 |
| 1225427354 | Timarie Leahy | Registered Nurse | 3664 Clementa Ave Sw, Waverly, MN 55390-5404 | 2015-01-13 |
| 1972099240 | New Beginnings Waverly LLC | Substance Abuse Rehabilitation Facility | 7300 Estes Ave Sw, Waverly, MN 55390-8432 | 2018-07-10 |
| Find all providers in zip 55390 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325283 | April Y Tenney | Counselor | 365 Station Dr, Waverly, TN 37185-1893 | 2019-03-13 |
| 1912456575 | Stephanie Newsom | Counselor | 118 1st St Sw, Waverly, IA 50677-3321 | 2016-09-23 |
| 1255887170 | Amy Susan Roling | Counselor | 118 1 Street Sw, Waverly, IA 50677 | 2016-08-31 |
| 1063509578 | Ida Suellen Westerman | Counselor | 205 B East Main Street, Waverly, TN 37185 | 2006-10-06 |
| 1467400903 | Beth Nall Latella | Counselor | 102 Dawn Ln, Waverly, OH 45690-9695 | 2006-05-05 |
| 1154620177 | Ashley Leeth | Counselor | 102 Dawn Ln, Waverly, OH 45690-9695 | 2011-03-16 |
| 1407171168 | Tamra M Duke | Counselor | 24414 Musselwhite Rd, Waverly, VA 23891-5218 | 2010-04-06 |
| 1003089046 | Barbara Brundige Decker | Counselor | 1318 N. Abington Rd., Waverly, PA 18471 | 2008-04-10 |
| 1841477916 | Dr. Catherine Cain & Associates, LLC | Counselor | 103 Highway 13 S, Waverly, TN 37185-2121 | 2008-01-30 |
| 1215136668 | Frances Geraldine Rich | Counselor | 103 Highway 13 S, Waverly, TN 37185-2121 | 2007-07-16 |
| Find all providers in WAVERLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.