Doctor Name: | BOBBIE COLEY |
NPI Number: | 1558517045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S |
License Number: | |
Business Practice Address: | 3641 Youth Town Rd Pinson, TN - 383669804 |
Business Phone Number: | 7319885251 |
Business Fax Number: | 7314275605 |
Mailing Address: | Po Box 1385, JACKSON |
State: | TN |
Postal Code: | 383021385 |
Phone Number: | 7319885251 |
Fax Number: | 7314275605 |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 08/15/2008 |
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 |