Healthcare Provider Details
I. General information
NPI: 1942596945
Provider Name (Legal Business Name): SHERRY LYNN HOFFMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/28/2011
Last Update Date: 09/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3450 US ROUTE 60 E
BARBOURSVILLE WV
25504-1609
US
IV. Provider business mailing address
3228 RIVERSIDE DR
HUNTINGTON WV
25705-1737
US
V. Phone/Fax
- Phone: 304-955-6300
- Fax: 304-733-5903
- Phone: 304-638-8809
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 1647 |
| License Number State | WV |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: