Provider Demographics
NPI:1548626013
Name:HOOTON, THOMI
Entity type:Individual
Prefix:
First Name:THOMI
Middle Name:
Last Name:HOOTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4049 SAVANNAH RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-8119
Mailing Address - Country:US
Mailing Address - Phone:678-344-7836
Mailing Address - Fax:678-892-8575
Practice Address - Street 1:4049 SAVANNAH RIDGE CT
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-8119
Practice Address - Country:US
Practice Address - Phone:678-542-8202
Practice Address - Fax:678-892-8575
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health