Doctor Name: | MS. ELENA DOBBS |
NPI Number: | 1013244409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MMH 10089 |
Business Practice Address: | 5302 Yaupon Holly Dr Cocoa, FL - 329273427 |
Business Phone Number: | 4075792310 |
Business Fax Number: | 4076786898 |
Mailing Address: | 309 Raleigh Dr, WARNER ROBINS |
State: | GA |
Postal Code: | 310882106 |
Phone Number: | 4075792310 |
Fax Number: | 4076786898 |
NPI Enumeration Date: | 11/06/2009 |
NPI Last Update Date: | 11/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MMH 10089 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |