Provider Demographics
NPI:1962911735
Name:HOFFMAN, ANDREA WYNNE (MA, LMHC, ATR-BC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:WYNNE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:MA, LMHC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 SW 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2806
Mailing Address - Country:US
Mailing Address - Phone:305-978-8157
Mailing Address - Fax:
Practice Address - Street 1:7600 SW 57TH AVE STE 222
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5408
Practice Address - Country:US
Practice Address - Phone:305-978-8157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health