Provider Demographics
NPI:1447907100
Name:HODGES, HOPE (LPC)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:HODGES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 N OAK ST BLDG J
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1768
Mailing Address - Country:US
Mailing Address - Phone:229-262-7333
Mailing Address - Fax:229-262-7335
Practice Address - Street 1:2704 N OAK ST BLDG J
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1768
Practice Address - Country:US
Practice Address - Phone:229-262-7333
Practice Address - Fax:229-262-7335
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012777101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional