Provider Demographics
NPI:1659087401
Name:HOOPAUGH, HAILEY (LPC)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:HOOPAUGH
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 1:327 DAHLONEGA ST STE B1902
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-8216
Mailing Address - Country:US
Mailing Address - Phone:678-371-7357
Mailing Address - Fax:
Practice Address - Street 1:327 DAHLONEGA ST STE B1902
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-8216
Practice Address - Country:US
Practice Address - Phone:678-371-7357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC013267101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional