Provider Demographics
NPI:1124911664
Name:HOFSTEIN, ERIC ISAAC (CPS-MH)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:ISAAC
Last Name:HOFSTEIN
Suffix:
Gender:M
Credentials:CPS-MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2097 TOWNSHIP DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-5283
Mailing Address - Country:US
Mailing Address - Phone:770-500-9348
Mailing Address - Fax:
Practice Address - Street 1:2097 TOWNSHIP DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-5283
Practice Address - Country:US
Practice Address - Phone:770-500-9348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator