Healthcare Provider Details

I. General information

NPI: 1205606977
Provider Name (Legal Business Name): ELIZABETH MARIE HOFMEISTER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 WASHINGTON PIKE # 2226
WELLSBURG WV
26070-2226
US

IV. Provider business mailing address

101 PEMBROKE CT
GREENSBURG PA
15601-6404
US

V. Phone/Fax

Practice location:
  • Phone: 724-396-1510
  • Fax:
Mailing address:
  • Phone: 724-396-1510
  • Fax: 724-972-4627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number886
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: