Healthcare Provider Details

I. General information

NPI: 1376117002
Provider Name (Legal Business Name): BARBIE M. HOFFARTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 03/13/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7448 68TH AVE NE
CANDO ND
58324-9485
US

IV. Provider business mailing address

101 E BROADWAY AVE
BISMARCK ND
58501-3840
US

V. Phone/Fax

Practice location:
  • Phone: 701-222-0386
  • Fax:
Mailing address:
  • Phone: 701-222-0386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1904
License Number StateND

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: