Provider Demographics
NPI:1407376072
Name:LEO A. HOFFMANN CENTER, INC.
Entity Type:Organization
Organization Name:LEO A. HOFFMANN CENTER, INC.
Other - Org Name:HOFFMANN COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:507-934-5332
Mailing Address - Street 1:PO BOX 60
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-0060
Mailing Address - Country:US
Mailing Address - Phone:507-934-5322
Mailing Address - Fax:507-934-2594
Practice Address - Street 1:1715 SHEPPARD DR
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-2539
Practice Address - Country:US
Practice Address - Phone:507-934-6122
Practice Address - Fax:507-934-2594
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEO A. HOFFMANN CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-23
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty