Provider Demographics
NPI:1922779685
Name:HOOVER, TUWANNA MONIQUE
Entity Type:Individual
Prefix:
First Name:TUWANNA
Middle Name:MONIQUE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 E 153RD ST APT 2G
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-4904
Mailing Address - Country:US
Mailing Address - Phone:917-238-1027
Mailing Address - Fax:
Practice Address - Street 1:281 E 153RD ST APT 2G
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-4904
Practice Address - Country:US
Practice Address - Phone:917-238-1027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No252Y00000XAgenciesEarly Intervention Provider Agency