Healthcare Provider Details

I. General information

NPI: 1194426312
Provider Name (Legal Business Name): KRISTEN HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4380 S SYRACUSE ST STE 320
DENVER CO
80237-2420
US

IV. Provider business mailing address

1791 W MARKET ST
BALTIMORE OH
43105-1049
US

V. Phone/Fax

Practice location:
  • Phone: 888-830-0347
  • Fax:
Mailing address:
  • Phone: 513-490-1298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0020469
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: