Healthcare Provider Details

I. General information

NPI: 1780595082
Provider Name (Legal Business Name): MEGAN HANSEN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 N HIGGINS AVE STE 202
MISSOULA MT
59802-4457
US

IV. Provider business mailing address

127 N HIGGINS AVE STE 202
MISSOULA MT
59802-4457
US

V. Phone/Fax

Practice location:
  • Phone: 406-647-1715
  • Fax:
Mailing address:
  • Phone: 406-647-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberBBH-LCPC-LIC-88410
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: