Provider Demographics
NPI:1881321677
Name:HOECK, JUSTIN LEE (LMHC, NCC)
Entity type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:LEE
Last Name:HOECK
Suffix:
Gender:M
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 MAUGANS AVE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-4030
Mailing Address - Country:US
Mailing Address - Phone:908-528-1301
Mailing Address - Fax:
Practice Address - Street 1:510 COUNTY ROAD 466
Practice Address - Street 2:#207B
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159
Practice Address - Country:US
Practice Address - Phone:352-234-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21065101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health