Healthcare Provider Details

I. General information

NPI: 1205342086
Provider Name (Legal Business Name): MEGAN BRITTANY HOFFMAN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2017
Last Update Date: 04/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2865 W BROAD ST
COLUMBUS OH
43204-2643
US

IV. Provider business mailing address

5369 BRAMBLE BROOK DR
COLUMBUS OH
43228-6215
US

V. Phone/Fax

Practice location:
  • Phone: 614-301-0401
  • Fax:
Mailing address:
  • Phone: 614-749-1169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1450552
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: