Provider Demographics
NPI:1578216206
Name:HOFFMANN, LYDIA (LPC)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:
Last Name:HOFFMANN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 S WADSWORTH BLVD UNIT T
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5009
Mailing Address - Country:US
Mailing Address - Phone:303-231-0090
Mailing Address - Fax:
Practice Address - Street 1:3225 S WADSWORTH BLVD UNIT T
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5009
Practice Address - Country:US
Practice Address - Phone:303-231-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16962101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional