MEDICARE: HOBBS INDUSTRIES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1255958054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOBBS INDUSTRIES, INC

Provider Business Mailing Address
First Line	:	PO BOX 61685
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-0035
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 W 4TH ST # 2512
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-5172
Country	:	US
Telephone Number	:	775-750-9995
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	MS. AMY HOBBS
Credential	:	LCSW
Telephone Number	:	775-750-9995

Provider Enumeration Date	:	06/29/2020
Last Update Date	:	06/29/2020

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