Provider Demographics
NPI:1285924282
Name:GILL-HOOPER, VALENCIA JO (LMSW)
Entity type:Individual
Prefix:MS
First Name:VALENCIA
Middle Name:JO
Last Name:GILL-HOOPER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 ROYALTY DR
Mailing Address - Street 2:2518 ROYALTY DR
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-5530
Mailing Address - Country:US
Mailing Address - Phone:214-727-3987
Mailing Address - Fax:
Practice Address - Street 1:2518 ROYALTY DR
Practice Address - Street 2:2518 ROYALTY DR
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-5530
Practice Address - Country:US
Practice Address - Phone:214-727-3987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04751104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker