Provider Demographics
NPI:1477730703
Name:HOFKER, ALEXIS CATHARINE (PLMHP, LMHC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:CATHARINE
Last Name:HOFKER
Suffix:
Gender:F
Credentials:PLMHP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W BROADWAY STE 107
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-4489
Mailing Address - Country:US
Mailing Address - Phone:712-328-3700
Mailing Address - Fax:712-328-3721
Practice Address - Street 1:300 W BROADWAY
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-9078
Practice Address - Country:US
Practice Address - Phone:712-328-3700
Practice Address - Fax:712-328-3721
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8522101YM0800X
IA001306101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health