Hoffert, Lisa Marie

Hoffert, Lisa Marie is an individual health care provider with primary practice located at 143 Gougler Ave , Kent OH 44240. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hoffert, Lisa Marie can be contacted via phone (330) 677-4124.

Contact Information

Primary practice address
143 Gougler Ave Kent OH 44240
Phone: (330) 677-4124
Fax: (330) 677-4134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LICDC.162343 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.2203027-SUPV Ohio

Profile Details

NPI number 1356906069
LBN Legal business name Hoffert, Lisa Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2019
Last updated Aug 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356906069 NPPES
Ohio Other LICDC.162343 OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
Ohio Other E.2203027-SUPV OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD

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