Provider Demographics
NPI:1831495068
Name:HOFFMAN, LEE (MM, MSE, LPC)
Entity Type:Individual
Prefix:MS
First Name:LEE
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MM, MSE, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-4860
Mailing Address - Country:US
Mailing Address - Phone:513-237-4851
Mailing Address - Fax:
Practice Address - Street 1:2507 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-4860
Practice Address - Country:US
Practice Address - Phone:513-237-4851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-05
Last Update Date:2011-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0600622101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional