Provider Demographics
NPI:1689967986
Name:HOFBAUER, STEPHANIE A (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:A
Last Name:HOFBAUER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:A
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:24843 CRESCENT RUN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-2753
Mailing Address - Country:US
Mailing Address - Phone:210-606-1934
Mailing Address - Fax:210-787-1629
Practice Address - Street 1:17206 BLANCO RD STE 2101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2830
Practice Address - Country:US
Practice Address - Phone:210-606-1934
Practice Address - Fax:210-787-1629
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64993101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health