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General NPI Number Information
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NPI Number | 1447007562
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Entity Type | Organization
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Legal Business Name | MARY HOBBS PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4686 CORRALES RD STE 2
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City | CORRALES
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State | NM
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Zip | 87048-8658
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Country | US
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Telephone | 505-507-2902
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1268
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City | CORRALES
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State | NM
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Zip | 87048-1268
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Country | US
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Telephone | 505-507-2902
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY CLAIRE HOBBS
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Credential | LPCC
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Telephone | 505-507-2902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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