Provider Demographics
NPI:1265049241
Name:HOFFMAN, MARIAH L (LMHC)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:L
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 PINE HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-2210
Mailing Address - Country:US
Mailing Address - Phone:845-537-5488
Mailing Address - Fax:
Practice Address - Street 1:10 OAKLAND AVE STE 2-4
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-1515
Practice Address - Country:US
Practice Address - Phone:845-237-2469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health