Provider Demographics
NPI:1265613178
Name:HOFFMAN, HEATHER LINN (MA, LPC, NCC, CAADC)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LINN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MA, LPC, NCC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 W 11TH ST STE 214
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-3289
Mailing Address - Country:US
Mailing Address - Phone:269-599-2250
Mailing Address - Fax:
Practice Address - Street 1:1200 W 11TH ST STE 214
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-3289
Practice Address - Country:US
Practice Address - Phone:269-599-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009482101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor