Provider Demographics
NPI:1407073281
Name:HODGES, TERRY CATOE (LPC, CSOTP)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:CATOE
Last Name:HODGES
Suffix:
Gender:F
Credentials:LPC, CSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23002 JEB STUART HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-2724
Mailing Address - Country:US
Mailing Address - Phone:276-358-1624
Mailing Address - Fax:
Practice Address - Street 1:23002 JEB STUART HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171-2724
Practice Address - Country:US
Practice Address - Phone:127-635-8162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0566101YM0800X
VA0701006190101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health