Healthcare Provider Details

I. General information

NPI: 1528551520
Provider Name (Legal Business Name): BOBBI JO HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8308 OHIO RIVER RD
WHEELERSBURG OH
45694-1714
US

IV. Provider business mailing address

364 COLE AVE
WEST PORTSMOUTH OH
45663-4148
US

V. Phone/Fax

Practice location:
  • Phone: 740-529-1201
  • Fax:
Mailing address:
  • Phone: 740-250-3429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberQMHS
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberCMS
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number167687
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: