Healthcare Provider Details

I. General information

NPI: 1730168295
Provider Name (Legal Business Name): CAROL HOCKENSMITH LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 BRINKERTON RD
GREENSBURG PA
15601-5832
US

IV. Provider business mailing address

1230 BRINKERTON RD
GREENSBURG PA
15601-5832
US

V. Phone/Fax

Practice location:
  • Phone: 724-219-5971
  • Fax:
Mailing address:
  • Phone: 724-219-5971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC 00174
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006164
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: