Healthcare Provider Details

I. General information

NPI: 1487971743
Provider Name (Legal Business Name): LAUREN HOEFLINGER L.P.C.M.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN BROOKENS L.P.C.M.H.

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 12/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S BRADFORD ST STE 7
DOVER DE
19904-4153
US

IV. Provider business mailing address

1001 S BRADFORD ST STE 7
DOVER DE
19904-4153
US

V. Phone/Fax

Practice location:
  • Phone: 302-678-4558
  • Fax:
Mailing address:
  • Phone: 302-678-4558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000487
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: