Healthcare Provider Details

I. General information

NPI: 1578216206
Provider Name (Legal Business Name): LYDIA HOFFMANN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 S WADSWORTH BLVD UNIT T
LAKEWOOD CO
80227-5009
US

IV. Provider business mailing address

3225 S WADSWORTH BLVD UNIT T
LAKEWOOD CO
80227-5009
US

V. Phone/Fax

Practice location:
  • Phone: 303-231-0090
  • Fax:
Mailing address:
  • Phone: 303-231-0090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number16962
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: