NPI Code Details Logo

NPI 1649726910

NPI 1649726910 : REBECCA HOFFMAN PLLC : SAINT CLOUD, MN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649726910
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    REBECCA HOFFMAN PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/28/2016
-----------------------------------------------------
    Last Update Date     |    12/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    107 DOCTORS PARK 
-----------------------------------------------------
    City                 |    SAINT CLOUD
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    56303-1207
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    320-356-0308
-----------------------------------------------------
    Fax                  |    320-356-0308
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    107 DOCTORS PARK 
-----------------------------------------------------
    City                 |    SAINT CLOUD
-----------------------------------------------------
    State                |    MN
-----------------------------------------------------
    Zip                  |    56303-1207
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    320-356-0308
-----------------------------------------------------
    Fax                  |    320-356-0308
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/PROVIDER
-----------------------------------------------------
    Name                 |     REBECCA L HOFFMAN 
-----------------------------------------------------
    Credential           |    MS, LMFT
-----------------------------------------------------
    Telephone            |    320-356-0308
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    2066
-----------------------------------------------------
    License Number State |    MN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.