Provider Demographics
NPI:1073245528
Name:HOFFMAN, DAWN A (MS , LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MS , LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 N COURTENAY PKWY STE 206
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-4475
Mailing Address - Country:US
Mailing Address - Phone:321-459-1003
Mailing Address - Fax:321-459-1006
Practice Address - Street 1:1395 N COURTENAY PKWY STE 206
Practice Address - Street 2:
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32953-4475
Practice Address - Country:US
Practice Address - Phone:321-459-1003
Practice Address - Fax:321-459-1006
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH23490101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health