MEDICARE: MR. JIM HOADLEY LPC, LMFT

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	11846	TX
2	106H00000X	Marriage & Family Therapist	4022-034524	TX

General Provider Information

NPI Number	:	1942351374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JIM HOADLEY LPC, LMFT

Provider Business Mailing Address
First Line	:	3536 BEE CAVES RD STE 100
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5474
Country	:	US
Telephone Number	:	512-476-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3536 BEE CAVES RD STE 100
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-5474
Country	:	US
Telephone Number	:	512-476-1800
Fax Number	:

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

Provider Enumeration Date	:	01/13/2007
Last Update Date	:	09/25/2008

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