Healthcare Provider Details

I. General information

NPI: 1871412569
Provider Name (Legal Business Name): TERRA HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 TOTTEN ST
BECKLEY WV
25801-6624
US

IV. Provider business mailing address

109 TOTTEN ST
BECKLEY WV
25801-6624
US

V. Phone/Fax

Practice location:
  • Phone: 304-222-7260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number3123
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: