Provider Demographics
NPI:1548460348
Name:HOOVER, BRIAN (LMHC)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:HOOVER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6584 NW 78TH DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2472
Mailing Address - Country:US
Mailing Address - Phone:561-306-2008
Mailing Address - Fax:954-753-6232
Practice Address - Street 1:440 S FEDERAL HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4114
Practice Address - Country:US
Practice Address - Phone:954-725-1411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH# 5864101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health