Provider Demographics
NPI:1164404919
Name:HOPSON, BILLIE SMITH
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:SMITH
Last Name:HOPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75766-2428
Mailing Address - Country:US
Mailing Address - Phone:903-586-6736
Mailing Address - Fax:903-586-2412
Practice Address - Street 1:703 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:TX
Practice Address - Zip Code:75766-2428
Practice Address - Country:US
Practice Address - Phone:903-586-6736
Practice Address - Fax:903-586-2412
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05805101Y00000X
TX003572040780106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist