| Organization Name: | NANCY PAULK MOBLEY |
| NPI Number: | 1013386861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY PAULK MOBLEY (LICENSED PROFESSIONAL COUNSELOR) |
| Mailing Address: | 584 Arlington Pl Macon |
| State: | GA US |
| Postal Code: | 312011705 |
| Phone Number: | 4787431472 |
| Fax Number: | 4787431472 |
| NPI Enumeration Date: | 09/23/2015 |
| NPI Last Update Date: | 09/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 003438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |