Healthcare Provider Details

I. General information

NPI: 1003640855
Provider Name (Legal Business Name): RONELLE HOFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3116 WEDDINGTON RD STE 900
MATTHEWS NC
28105-9407
US

IV. Provider business mailing address

3116 WEDDINGTON RD STE 900
MATTHEWS NC
28105-9407
US

V. Phone/Fax

Practice location:
  • Phone: 803-801-2772
  • Fax:
Mailing address:
  • Phone: 803-801-2772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA20393
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: