Healthcare Provider Details

I. General information

NPI: 1508014606
Provider Name (Legal Business Name): SANDY L HOBBS MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDY L HOBBS MA, LPC

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13460 N 94TH DR SUITE K3
PEORIA AZ
85381-4835
US

IV. Provider business mailing address

13460 N 94TH DR SUITE K3
PEORIA AZ
85381-4835
US

V. Phone/Fax

Practice location:
  • Phone: 623-974-3333
  • Fax: 623-974-3390
Mailing address:
  • Phone: 623-974-3333
  • Fax: 623-974-3390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number0731
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0731
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLPC-0731
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-0731
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-0731
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: