Provider Demographics
NPI:1184996985
Name:HOFFER, HEATHER CAROLYN (LLPC)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:CAROLYN
Last Name:HOFFER
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:CAROLYN
Other - Last Name:CZUPICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LLPC
Mailing Address - Street 1:3171 S GROVE DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-4424
Mailing Address - Country:US
Mailing Address - Phone:734-625-9371
Mailing Address - Fax:
Practice Address - Street 1:14930 LAPLAISANCE RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-3880
Practice Address - Country:US
Practice Address - Phone:734-241-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional