Healthcare Provider Details

I. General information

NPI: 1558915405
Provider Name (Legal Business Name): VICTORIA KATE CONNER-HEARN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 VICTORY LN STE 150A
HOOVER AL
35216-6301
US

IV. Provider business mailing address

2231 VICTORY LN STE 150A
HOOVER AL
35216-6301
US

V. Phone/Fax

Practice location:
  • Phone: 205-572-9886
  • Fax:
Mailing address:
  • Phone: 205-572-9886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4303
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0016623
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: