Provider Demographics
NPI:1124770011
Name:HOPPER, ALAITHEA (LMHC)
Entity type:Individual
Prefix:
First Name:ALAITHEA
Middle Name:
Last Name:HOPPER
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 1:7530 S COUNTY ROAD 450 W
Mailing Address - Street 2:
Mailing Address - City:STILESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46180-9714
Mailing Address - Country:US
Mailing Address - Phone:760-201-6470
Mailing Address - Fax:
Practice Address - Street 1:825 N INDIANA ST
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1252
Practice Address - Country:US
Practice Address - Phone:317-406-9939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health