Healthcare Provider Details

I. General information

NPI: 1710898283
Provider Name (Legal Business Name): BOBBY MCGEE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 E LONE STAR DR
MOHAVE VALLEY AZ
86440-9375
US

IV. Provider business mailing address

2009 E LONE STAR DR
MOHAVE VALLEY AZ
86440-9375
US

V. Phone/Fax

Practice location:
  • Phone: 928-352-9358
  • Fax:
Mailing address:
  • Phone: 928-352-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLMSW16922
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: