Provider Demographics
NPI:1700038825
Name:WALKER HOFF, LAURIE (MS, PCC)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:
Last Name:WALKER HOFF
Suffix:
Gender:F
Credentials:MS, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2365 LAKEVIEW DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-4600
Mailing Address - Country:US
Mailing Address - Phone:937-271-6299
Mailing Address - Fax:937-320-0824
Practice Address - Street 1:2365 LAKEVIEW DR
Practice Address - Street 2:SUITE B
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-4600
Practice Address - Country:US
Practice Address - Phone:937-271-6299
Practice Address - Fax:937-320-0824
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0008347101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional