Provider Demographics
NPI:1801223870
Name:HOPKE, MINDY LYNN-FOSTER (MA, LLP, LMFT)
Entity Type:Individual
Prefix:MS
First Name:MINDY
Middle Name:LYNN-FOSTER
Last Name:HOPKE
Suffix:
Gender:F
Credentials:MA, LLP, LMFT
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:LYNN
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1876 SUN PARK CT
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-8335
Mailing Address - Country:US
Mailing Address - Phone:616-772-6973
Mailing Address - Fax:616-772-6973
Practice Address - Street 1:4250 CHICAGO DR SW STE B
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-1506
Practice Address - Country:US
Practice Address - Phone:616-805-3660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4101006216106H00000X
MI6361003407103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist