Healthcare Provider Details

I. General information

NPI: 1831022391
Provider Name (Legal Business Name): NICOLE OLIVIA HANSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2538 HIGHLAND CIR
STROUDSBURG PA
18360-6687
US

IV. Provider business mailing address

2538 HIGHLAND CIR
STROUDSBURG PA
18360-6687
US

V. Phone/Fax

Practice location:
  • Phone: 201-873-5431
  • Fax: 201-873-5431
Mailing address:
  • Phone: 201-873-5431
  • Fax: 201-873-5431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMF00185
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: