MEDICARE: MRS. LAURIE WEBSTER HOBBS LPCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	A11971	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A11971	OTHER	NC	NCLPC LICENSE NUMBER

General Provider Information

NPI Number	:	1528563723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURIE WEBSTER HOBBS LPCA

Provider Business Mailing Address
First Line	:	7615 COLONY RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-5017
Country	:	US
Telephone Number	:	704-365-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	7615 COLONY RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-5017
Country	:	US
Telephone Number	:	704-365-4545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2018
Last Update Date	:	06/16/2018

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