Healthcare Provider Details

I. General information

NPI: 1538827159
Provider Name (Legal Business Name): BRITTANY HASENBERG LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY EVANS

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 GOLF TER STE 209
EAU CLAIRE WI
54701-4688
US

IV. Provider business mailing address

800 WILSON AVE RM 330
MENOMONIE WI
54751-2746
US

V. Phone/Fax

Practice location:
  • Phone: 715-256-7166
  • Fax: 888-427-8048
Mailing address:
  • Phone: 715-492-8559
  • Fax: 888-427-8048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11382-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: