Healthcare Provider Details

I. General information

NPI: 1720226806
Provider Name (Legal Business Name): CATHERINE HOCK MS, LIMHP, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2009
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 W TROY ST STE B
DOTHAN AL
36303-4455
US

IV. Provider business mailing address

212 W TROY ST STE B
DOTHAN AL
36303-4455
US

V. Phone/Fax

Practice location:
  • Phone: 402-356-1686
  • Fax: 402-356-1686
Mailing address:
  • Phone: 402-356-1686
  • Fax: 402-356-1686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1114
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: