Healthcare Provider Details

I. General information

NPI: 1215072707
Provider Name (Legal Business Name): JANET G HOOPER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 CENTER AVENUE
BROWNWOOD TX
76801-2919
US

IV. Provider business mailing address

PO BOX 1391
BROWNWOOD TX
76804-1391
US

V. Phone/Fax

Practice location:
  • Phone: 325-649-4357
  • Fax: 325-646-0919
Mailing address:
  • Phone: 325-649-4357
  • Fax: 325-646-0919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number16347
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: