Provider Demographics
NPI:1669868394
Name:HOFFMAN, KATY (BA, MS, LPCC)
Entity type:Individual
Prefix:
First Name:KATY
Middle Name:
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:BA, MS, LPCC
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:
Other - Last Name:PENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MS, LPCC
Mailing Address - Street 1:4339 WINSTON AVENUE
Mailing Address - Street 2:LATONIA CENTER
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015
Mailing Address - Country:US
Mailing Address - Phone:859-835-2573
Mailing Address - Fax:859-727-6327
Practice Address - Street 1:4339 WINSTON AVENUE
Practice Address - Street 2:LATONIA CENTER
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41015
Practice Address - Country:US
Practice Address - Phone:859-835-2573
Practice Address - Fax:859-727-6327
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY175349101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYKY-1916OtherLICENSED PROFESSIONAL COUNSELOR ASSOCIATE