Healthcare Provider Details

I. General information

NPI: 1083991376
Provider Name (Legal Business Name): TIMOTHY L HOPKINS MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MAIN ST
COLUMBUS MS
39701-4751
US

IV. Provider business mailing address

1032 STATE HWY 50 W
WEST POINT MS
39773-1336
US

V. Phone/Fax

Practice location:
  • Phone: 662-328-9225
  • Fax: 662-328-4735
Mailing address:
  • Phone: 662-524-4347
  • Fax: 662-524-4370

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:
Title or Position:
Credential:
Phone: