Provider Demographics
NPI:1144515933
Name:HOAGLAND, CONNIE ANN (LPC)
Entity type:Individual
Prefix:
First Name:CONNIE
Middle Name:ANN
Last Name:HOAGLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12476 ROY HARRIS LOOP
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77306-6600
Mailing Address - Country:US
Mailing Address - Phone:936-718-5646
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR STE 8210
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1642
Practice Address - Country:US
Practice Address - Phone:281-748-0233
Practice Address - Fax:281-298-6256
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65318101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX65318OtherL.P.C. - TEXAS STATE BOARD OF EXAMINERS