Healthcare Provider Details

I. General information

NPI: 1740172345
Provider Name (Legal Business Name): CHLOE HOVORKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHLOE SLUDER

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26040 ACERO STE 207
MISSION VIEJO CA
92691-2768
US

IV. Provider business mailing address

1549 PLACENTIA AVE APT 209
NEWPORT BEACH CA
92663-2817
US

V. Phone/Fax

Practice location:
  • Phone: 949-842-8595
  • Fax:
Mailing address:
  • Phone: 949-241-0702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number156016
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: