Provider Demographics
NPI:1407919889
Name:HOOKS, LARRY (LPC)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:
Last Name:HOOKS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 KIKER ST
Mailing Address - Street 2:
Mailing Address - City:ELLIJAY
Mailing Address - State:GA
Mailing Address - Zip Code:30540-3700
Mailing Address - Country:US
Mailing Address - Phone:706-636-2692
Mailing Address - Fax:706-636-2694
Practice Address - Street 1:10 KIKER ST
Practice Address - Street 2:
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30540-3700
Practice Address - Country:US
Practice Address - Phone:706-636-2692
Practice Address - Fax:706-636-2694
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003706101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health