Healthcare Provider Details

I. General information

NPI: 1992376586
Provider Name (Legal Business Name): RACHEL LEIGH HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 CONCOURSE BLVD STE 230
GLEN ALLEN VA
23059-5643
US

IV. Provider business mailing address

301 CONCOURSE BLVD STE 230
GLEN ALLEN VA
23059-5643
US

V. Phone/Fax

Practice location:
  • Phone: 800-853-5996
  • Fax: 804-843-8529
Mailing address:
  • Phone: 804-543-4542
  • Fax: 804-843-8529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number701009648
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701009648
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: