Provider Demographics
NPI:1326525015
Name:HOFFMAN, CARLY (LPCC)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 YORK AVE S STE 317
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4469
Mailing Address - Country:US
Mailing Address - Phone:763-703-4215
Mailing Address - Fax:877-775-3306
Practice Address - Street 1:7101 YORK AVE S STE 317
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4469
Practice Address - Country:US
Practice Address - Phone:952-457-1301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11423-125101YM0800X
MN1600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health