MEDICARE: MRS. DAWN A HOFFMAN M.S. , LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH23490	FL

General Provider Information

NPI Number	:	1073245528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWN A HOFFMAN M.S. , LMHC

Provider Business Mailing Address
First Line	:	1395 N COURTENAY PKWY STE 206
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-4475
Country	:	US
Telephone Number	:	321-459-1003
Fax Number	:	321-459-1006

Provider Business Practice Location Address
First Line	:	1395 N COURTENAY PKWY STE 206
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-4475
Country	:	US
Telephone Number	:	321-459-1003
Fax Number	:	321-459-1006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	04/16/2024

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