Healthcare Provider Details

I. General information

NPI: 1740333400
Provider Name (Legal Business Name): KARIN M MOBLEY LPCC-S LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 PROGRESS PKWY
TIFFIN OH
44883-2523
US

IV. Provider business mailing address

258 PROGRESS PKWY
TIFFIN OH
44883-2523
US

V. Phone/Fax

Practice location:
  • Phone: 419-618-8213
  • Fax:
Mailing address:
  • Phone: 419-618-8213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number162755
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE0007501
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: