Provider Demographics
NPI:1801580378
Name:HOFMEYER FAMILY THERAPY INC
Entity type:Organization
Organization Name:HOFMEYER FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HOFMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:310-699-3636
Mailing Address - Street 1:5201 STATE PARK HWY
Mailing Address - Street 2:
Mailing Address - City:INTERLOCHEN
Mailing Address - State:MI
Mailing Address - Zip Code:49643-9569
Mailing Address - Country:US
Mailing Address - Phone:310-699-3636
Mailing Address - Fax:
Practice Address - Street 1:2534 N TOPANGA CANYON BLVD
Practice Address - Street 2:
Practice Address - City:TOPANGA
Practice Address - State:CA
Practice Address - Zip Code:90290-4372
Practice Address - Country:US
Practice Address - Phone:310-699-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty