Provider Demographics
NPI:1992376586
Name:HOFFMAN, RACHEL LEIGH
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEIGH
Last Name:HOFFMAN
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 1:301 CONCOURSE BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5643
Mailing Address - Country:US
Mailing Address - Phone:804-543-4542
Mailing Address - Fax:804-843-8529
Practice Address - Street 1:301 CONCOURSE BLVD STE 230
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5643
Practice Address - Country:US
Practice Address - Phone:800-853-5996
Practice Address - Fax:804-843-8529
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
VA701009648101YM0800X
VA0701009648101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health