Provider Demographics
NPI:1932434727
Name:HOFFMAN, BRENDA GUADALUPE (LPC)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:GUADALUPE
Last Name:HOFFMAN
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 1:1245 GRAND PARK LN
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-3809
Mailing Address - Country:US
Mailing Address - Phone:830-352-7212
Mailing Address - Fax:
Practice Address - Street 1:2149 EL INDIO HWY
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-5455
Practice Address - Country:US
Practice Address - Phone:830-352-7212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63756101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional