Healthcare Provider Details

I. General information

NPI: 1003963968
Provider Name (Legal Business Name): EDWARD L HOFFMAN L.M.H.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 DOCTORS PARK STE H
ASHEVILLE NC
28801-4523
US

IV. Provider business mailing address

1543 KINGSLEY AVE SUITE 18A
ORANGE PARK FL
32073-4535
US

V. Phone/Fax

Practice location:
  • Phone: 855-501-1004
  • Fax:
Mailing address:
  • Phone: 904-269-3324
  • Fax: 904-264-2302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH4235
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number21127
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: