| Angela Maria Hansen, LCSW | |
|
6219 Woodhaven Village Drive, Port Orange, FL 32128 | |
| (786) 393-0315 | |
| (786) 396-9605 |
| Full Name | Angela Maria Hansen |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6219 Woodhaven Village Drive, Port Orange, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235685181 | NPI | - | NPPES |
| Entity Name | Simon Health Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629615133 PECOS PAC ID: 3274935549 Enrollment ID: O20210708002131 |
| Entity Name | Supra Medical Group Ii, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033650221 PECOS PAC ID: 2961805536 Enrollment ID: O20210721000408 |
| Entity Name | My Mental Health Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487247409 PECOS PAC ID: 5395141535 Enrollment ID: O20210914000171 |
| Entity Name | Ebenezer Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265007207 PECOS PAC ID: 2668860248 Enrollment ID: O20211101002371 |
| Entity Name | Estrella Health Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710576988 PECOS PAC ID: 0042691362 Enrollment ID: O20220718003850 |
| Entity Name | Harmony Behavior Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821863119 PECOS PAC ID: 8426499468 Enrollment ID: O20240508003195 |
| Entity Name | My Angel Therapy's Corp. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205664729 PECOS PAC ID: 9537694096 Enrollment ID: O20241121001816 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Maria Hansen, LCSW 6219 Woodhaven Village Drive, Port Orange, FL 32128 Ph: (786) 393-0315 | Angela Maria Hansen, LCSW 6219 Woodhaven Village Drive, Port Orange, FL 32128 Ph: (786) 393-0315 |