Healthcare Provider Details

I. General information

NPI: 1376328617
Provider Name (Legal Business Name): LAUREN HOFSTATTER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22154 VERBENA WAY
BOCA RATON FL
33433-4813
US

IV. Provider business mailing address

22154 VERBENA WAY
BOCA RATON FL
33433-4813
US

V. Phone/Fax

Practice location:
  • Phone: 917-586-2701
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH20311
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: