MEDICARE: HOLLY LENN HOOPER-STOVER

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	101YP2500X	Professional Counselor	13173	OK

General Provider Information

NPI Number	:	1922967561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY LENN HOOPER-STOVER

Provider Business Mailing Address
First Line	:	112 W MAIN ST
Second Line	:
City	:	WEATHERFORD
State	:	OK
Zip	:	73096-4940
Country	:	US
Telephone Number	:	580-661-3488
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 W BROADWAY AVE
Second Line	:
City	:	ELK CITY
State	:	OK
Zip	:	73644-4742
Country	:	US
Telephone Number	:	580-661-3488
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ HOLLY LENN HOOPER-STOVER ” Practice Location

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