Healthcare Provider Details

I. General information

NPI: 1235780511
Provider Name (Legal Business Name): JO-ANNE HOYT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 EPPS BRIDGE PKWY STE 108
ATHENS GA
30606-6131
US

IV. Provider business mailing address

1300 POST OAK CT
WINDER GA
30680-3355
US

V. Phone/Fax

Practice location:
  • Phone: 770-769-2191
  • Fax: 833-485-4817
Mailing address:
  • Phone: 508-966-0869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number013388
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: