Provider Demographics
NPI:1457004731
Name:HOOVER, KATHRINE (LMHC)
Entity Type:Individual
Prefix:
First Name:KATHRINE
Middle Name:
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 N FOREST AVE NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1652
Mailing Address - Country:US
Mailing Address - Phone:404-784-7586
Mailing Address - Fax:
Practice Address - Street 1:1025 SENECA AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5800
Practice Address - Country:US
Practice Address - Phone:404-784-7586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012072-01101YM0800X
NY012072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health