Provider Demographics
NPI:1205006426
Name:HOPKINS, LISA NIKITA (LCPC)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:NIKITA
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9749 S LUELLA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-4865
Mailing Address - Country:US
Mailing Address - Phone:779-655-4544
Mailing Address - Fax:
Practice Address - Street 1:9749 S LUELLA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-4865
Practice Address - Country:US
Practice Address - Phone:779-655-4544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional