Provider Demographics
NPI:1043992605
Name:HOFFMAN, BRIAN (LMHC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4875 PARK RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8345
Mailing Address - Country:US
Mailing Address - Phone:561-517-2699
Mailing Address - Fax:
Practice Address - Street 1:4875 PARK RIDGE BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8345
Practice Address - Country:US
Practice Address - Phone:561-517-2699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22583101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health