Provider Demographics
NPI:1376788596
Name:HOOTEN, DAVID A (LMFT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:HOOTEN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6502 SLIDE RD
Mailing Address - Street 2:SUITE #207
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1329
Mailing Address - Country:US
Mailing Address - Phone:806-771-8808
Mailing Address - Fax:806-771-8809
Practice Address - Street 1:6502 SLIDE RD
Practice Address - Street 2:SUITE #207
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1329
Practice Address - Country:US
Practice Address - Phone:806-771-8808
Practice Address - Fax:806-771-8809
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3009106H00000X
TX11132101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional