Healthcare Provider Details

I. General information

NPI: 1013778554
Provider Name (Legal Business Name): KATE HOOVER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 JUNIPER ST NE
ATLANTA GA
30308-1300
US

IV. Provider business mailing address

814 JUNIPER ST NE
ATLANTA GA
30308-1300
US

V. Phone/Fax

Practice location:
  • Phone: 646-838-0306
  • Fax:
Mailing address:
  • Phone: 646-838-0306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHRINE HOOVER
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential:
Phone: 646-838-0306