Provider Demographics
NPI:1558410142
Name:HOPWOOD, GEORGIA L (LMLP, LCP)
Entity Type:Individual
Prefix:MS
First Name:GEORGIA
Middle Name:L
Last Name:HOPWOOD
Suffix:
Gender:F
Credentials:LMLP, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 W 158TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3874
Mailing Address - Country:US
Mailing Address - Phone:913-652-6668
Mailing Address - Fax:913-562-6698
Practice Address - Street 1:6201 COLLEGE BLVD STE 410
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-2430
Practice Address - Country:US
Practice Address - Phone:913-652-6668
Practice Address - Fax:913-652-6698
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2022-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0549103TC0700X
KS121103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical