Hopper, Theresa M

Hopper, Theresa M is an sole proprietor health care provider with primary practice located at 1 Trillium Way , Corbin KY 40701-8727. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hopper, Theresa M can be contacted via phone (606) 523-8521.

Contact Information

Primary practice address
1 Trillium Way Corbin KY 40701-8727
Phone: (606) 523-8521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-185 Wyoming
Behavioral Health & Social Service Providers / Clinical 1041C0700X 252484 Kentucky

Profile Details

NPI number 1124002373
LBN Legal business name Hopper, Theresa M
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Jul 16th, 2019 - about 7 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 1124002373 NPPES
Wyoming Other 307090 BS OF WY
Wyoming MEDICAID 7100450820 BS OF WY
Wyoming Other MH63 BS OF WY

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