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General NPI Number Information
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NPI Number | 1942607387
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Entity Type | Individual
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Provider Name | CONNIE HOBBS LMHC, CAP, BC-TMH
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Gender | Female
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 210 BOSARVEY DR
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City | ORMOND BEACH
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State | FL
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Zip | 32176-6625
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Country | US
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Telephone | 386-295-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 210 BOSARVEY DR
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City | ORMOND BEACH
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State | FL
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Zip | 32176-6625
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Country | US
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Telephone | 386-295-4420
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | ADA-002758-2014
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH11503
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 1080727
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License Number State | FL
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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 | MH13572
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License Number State | FL
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