Provider Demographics
NPI:1346401916
Name:HOFER, AMARIS L (LMHP)
Entity Type:Individual
Prefix:
First Name:AMARIS
Middle Name:L
Last Name:HOFER
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 PATRICIA DR
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-2922
Mailing Address - Country:US
Mailing Address - Phone:402-932-7788
Mailing Address - Fax:
Practice Address - Street 1:965 PATRICIA DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2922
Practice Address - Country:US
Practice Address - Phone:402-932-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3596101YM0800X
NE1802101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional