=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124773098
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALEX ELIZABETH HOFFMAN MA, LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2022
-----------------------------------------------------
Last Update Date | 12/09/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3355 BEE CAVES RD STE 705
-----------------------------------------------------
City | WEST LAKE HILLS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78746-6673
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-804-7558
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5900 BALCONES DR STE 100
-----------------------------------------------------
City | AUSTIN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78731-4298
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-804-7558
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 88123
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------