| Doctor Name: | AMIE STELLA HOPPER |
| NPI Number: | 1083047476 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCASA |
| License Number: | 3362-A |
| Business Practice Address: | 631 Brawley School Rd Ste 200b, Pmb 301 Mooresville, NC - 281176204 |
| Business Phone Number: | 7043604531 |
| Business Fax Number: | 7043602544 |
| Mailing Address: | 2505 Court Dr, GASTONIA |
| State: | NC |
| Postal Code: | 280542140 |
| Phone Number: | 7044764016 |
| Fax Number: | 7048544860 |
| NPI Enumeration Date: | 08/21/2013 |
| NPI Last Update Date: | 08/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 3362-A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |