MEDICARE: LINZIE HOPKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	11908	OK

General Provider Information

NPI Number	:	1962144774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINZIE HOPKINS

Provider Business Mailing Address
First Line	:	11510 N 109TH EAST AVE
Second Line	:
City	:	OWASSO
State	:	OK
Zip	:	74055-4265
Country	:	US
Telephone Number	:	918-693-1039
Fax Number	:

Provider Business Practice Location Address
First Line	:	11510 N 109TH EAST AVE
Second Line	:
City	:	OWASSO
State	:	OK
Zip	:	74055-4265
Country	:	US
Telephone Number	:	918-693-1039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	04/22/2026

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Directions to “ LINZIE HOPKINS ” Practice Location

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