Doctor Name: | ELISSA E MOBLEY |
NPI Number: | 1134563414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1410 S Gin Rd Atoka, OK - 74525 |
Business Phone Number: | 5808893399 |
Business Fax Number: | |
Mailing Address: | 2111 Meadowlark Ln, IDABEL |
State: | OK |
Postal Code: | 747453726 |
Phone Number: | 3183939172 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2013 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |