=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588455901
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LAURA HOFFMANN COUNSELING, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2025
-----------------------------------------------------
Last Update Date | 05/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2254 FLINT HILL DR STE 2
-----------------------------------------------------
City | DUBUQUE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52003-8097
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-845-3993
-----------------------------------------------------
Fax | 562-275-6781
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2254 FLINT HILL DR STE 2
-----------------------------------------------------
City | DUBUQUE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52003-8097
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-845-3993
-----------------------------------------------------
Fax | 562-275-6781
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LAURA A HOFFMANN
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 563-845-3993
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------