Healthcare Provider Details

I. General information

NPI: 1124370697
Provider Name (Legal Business Name): STEPHANIE ANN HOOVER LPCS, LPC, LAC, ADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 BROOKSIDE PKWY
LEXINGTON SC
29072-4234
US

IV. Provider business mailing address

138 EASTMARCH DR
LEXINGTON SC
29073-6972
US

V. Phone/Fax

Practice location:
  • Phone: 903-808-5222
  • Fax:
Mailing address:
  • Phone: 803-240-3836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6515
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: