Provider Demographics
NPI:1528444510
Name:HOFFMEISTER, HANNAH PARKER (LPC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:PARKER
Last Name:HOFFMEISTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W NORMAN ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-1943
Mailing Address - Country:US
Mailing Address - Phone:629-777-6445
Mailing Address - Fax:
Practice Address - Street 1:118 W NORMAN ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-1943
Practice Address - Country:US
Practice Address - Phone:629-777-6445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-03
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional