Healthcare Provider Details

I. General information

NPI: 1487275418
Provider Name (Legal Business Name): HOFMANN COUNSELING AND CONSULTING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8925 BEACON STREET
FORT MYERS FL
33907-3390
US

IV. Provider business mailing address

8925 BEACON ST
FORT MYERS FL
33907-5904
US

V. Phone/Fax

Practice location:
  • Phone: 239-834-1044
  • Fax:
Mailing address:
  • Phone: 239-834-1044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE HOFMANN
Title or Position: THERAPIST/PARTNER
Credential: LMHC
Phone: 239-834-1044