Healthcare Provider Details

I. General information

NPI: 1063756047
Provider Name (Legal Business Name): LAURA MICHELLE HOBSON M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 02/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S INDEPENDENCE BLVD STE 207
VIRGINIA BEACH VA
23452-1150
US

IV. Provider business mailing address

3856 TOPAZ LN
VIRGINIA BEACH VA
23456-1352
US

V. Phone/Fax

Practice location:
  • Phone: 757-652-7213
  • Fax:
Mailing address:
  • Phone: 757-333-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: