Provider Demographics
NPI:1821242827
Name:HOFFPAUIR, SANDRA RHONDA JO (LCDC)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:RHONDA JO
Last Name:HOFFPAUIR
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 MCKINNEY ST
Mailing Address - Street 2:APT. #4
Mailing Address - City:WINNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75494-3041
Mailing Address - Country:US
Mailing Address - Phone:903-342-6921
Mailing Address - Fax:
Practice Address - Street 1:413 MCKINNEY ST
Practice Address - Street 2:APT. #4
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494-3041
Practice Address - Country:US
Practice Address - Phone:903-342-6921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10439101YA0400X
TX100681 TEMPORARY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker