Provider Demographics
NPI:1972089043
Name:HODGES, VICTORIA ANN (MSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANN
Last Name:HODGES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 E KINGSTON SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37082-9090
Mailing Address - Country:US
Mailing Address - Phone:615-952-2811
Mailing Address - Fax:
Practice Address - Street 1:170 E KINGSTON SPRINGS RD
Practice Address - Street 2:
Practice Address - City:KINGSTON SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37082-9090
Practice Address - Country:US
Practice Address - Phone:615-952-2811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health