Healthcare Provider Details

I. General information

NPI: 1992992515
Provider Name (Legal Business Name): PAULA S. HOFMANN MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAULA S. MENDENHALL LMHC

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 12/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W. CENTRAL AVENUE
DELAWARE OH
43015
US

IV. Provider business mailing address

21 W. CENTRAL AVENUE
DELAWARE OH
43015
US

V. Phone/Fax

Practice location:
  • Phone: 727-534-6621
  • Fax: 740-913-1744
Mailing address:
  • Phone: 727-534-6621
  • Fax: 740-913-1744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH8985
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: