Provider Demographics
NPI:1538531876
Name:BRADSHAW HOPPOCK, AMY A (PHD, LMHC, CAP)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:A
Last Name:BRADSHAW HOPPOCK
Suffix:
Gender:F
Credentials:PHD, LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5915 BENJAMIN CENTER DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-5239
Mailing Address - Country:US
Mailing Address - Phone:813-887-3300
Mailing Address - Fax:813-889-8092
Practice Address - Street 1:5915 BENJAMIN CENTER DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-5239
Practice Address - Country:US
Practice Address - Phone:813-887-3300
Practice Address - Fax:813-889-8092
Is Sole Proprietor?:No
Enumeration Date:2015-10-26
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9356101Y00000X, 101YM0800X
FLCAP2633101YA0400X
NMCCMH0187551101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional