Provider Demographics
NPI:1992992515
Name:HOFMANN, PAULA S (MA, LPCC)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:S
Last Name:HOFMANN
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:MS
Other - First Name:PAULA
Other - Middle Name:S
Other - Last Name:MENDENHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:21 W. CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015
Mailing Address - Country:US
Mailing Address - Phone:727-534-6621
Mailing Address - Fax:740-913-1744
Practice Address - Street 1:21 W. CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015
Practice Address - Country:US
Practice Address - Phone:727-534-6621
Practice Address - Fax:740-913-1744
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8985101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL060297300Medicaid