Healthcare Provider Details

I. General information

NPI: 1831495068
Provider Name (Legal Business Name): LEE HOFFMAN MM, MSE, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2011
Last Update Date: 02/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2507 HILLSIDE AVE
SPRINGFIELD OH
45503-4860
US

IV. Provider business mailing address

2507 HILLSIDE AVE
SPRINGFIELD OH
45503-4860
US

V. Phone/Fax

Practice location:
  • Phone: 513-237-4851
  • Fax:
Mailing address:
  • Phone: 513-237-4851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.0600622
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: