Individual
HEATHER ANN HOFMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 E WORTHY ST, GONZALES, LA 70737-4302
(225) 258-7322
(225) 450-3799
Mailing address
1058 E WORTHY ST STE B-2, GONZALES, LA 70737-4302
(225) 258-7322
(225) 450-3799
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH0012108
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-5326332
—
LA
Enumeration date
11/01/2017
Last updated
11/01/2017
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