Healthcare Provider Details

I. General information

NPI: 1649726910
Provider Name (Legal Business Name): REBECCA HOFFMAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2016
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 DOCTORS PARK
SAINT CLOUD MN
56303-1207
US

IV. Provider business mailing address

107 DOCTORS PARK
SAINT CLOUD MN
56303-1207
US

V. Phone/Fax

Practice location:
  • Phone: 320-356-0308
  • Fax: 320-356-0308
Mailing address:
  • Phone: 320-356-0308
  • Fax: 320-356-0308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2066
License Number StateMN

VIII. Authorized Official

Name: REBECCA L HOFFMAN
Title or Position: OWNER/PROVIDER
Credential: MS, LMFT
Phone: 320-356-0308