Healthcare Provider Details

I. General information

NPI: 1740655547
Provider Name (Legal Business Name): ANGELLE HOBBS M.A., NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2015
Last Update Date: 05/10/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 APPLETREE LN
TERRYTOWN LA
70056-2521
US

IV. Provider business mailing address

214 APPLETREE LN
TERRYTOWN LA
70056-2521
US

V. Phone/Fax

Practice location:
  • Phone: 504-610-2947
  • Fax:
Mailing address:
  • Phone: 504-610-2947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6016
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: