Provider Demographics
NPI:1922586999
Name:HOFFMAN, KELLY MARIE (ACMHC)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:MARIE
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:MARIE
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7670 W LAKE MEAD BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-6651
Mailing Address - Country:US
Mailing Address - Phone:702-930-2009
Mailing Address - Fax:
Practice Address - Street 1:7670 W LAKE MEAD BLVD STE 135
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-6651
Practice Address - Country:US
Practice Address - Phone:702-930-2009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health