Provider Demographics
NPI:1467500132
Name:T HOFFLER ENTERPRISES INC
Entity Type:Organization
Organization Name:T HOFFLER ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JTOBY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:912-496-3509
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:105 KAY ST
Mailing Address - City:FOLKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:31537-0098
Mailing Address - Country:US
Mailing Address - Phone:912-496-3509
Mailing Address - Fax:912-496-0850
Practice Address - Street 1:105 KAY ST
Practice Address - Street 2:POB 98
Practice Address - City:FOLKSTON
Practice Address - State:GA
Practice Address - Zip Code:31537-3914
Practice Address - Country:US
Practice Address - Phone:912-496-3509
Practice Address - Fax:912-496-0850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0029611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty