Healthcare Provider Details

I. General information

NPI: 1225484991
Provider Name (Legal Business Name): ERIC MICHAEL HOVIS LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2016
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E 95TH ST APT 22G
NEW YORK NY
10128-4071
US

IV. Provider business mailing address

205 E 95TH ST APT 22G
NEW YORK NY
10128-4071
US

V. Phone/Fax

Practice location:
  • Phone: 347-620-6471
  • Fax:
Mailing address:
  • Phone: 480-201-6692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number007225
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: