Provider Demographics
NPI:1073053732
Name:KEYNAN HOBBS NURSING, INC.
Entity Type:Organization
Organization Name:KEYNAN HOBBS NURSING, INC.
Other - Org Name:LISTENING POST COUNSELING AND CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEYNAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN, PMHCNS-BC
Authorized Official - Phone:858-380-7691
Mailing Address - Street 1:8900 GROSSMONT BLVD # 4-3
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-4047
Mailing Address - Country:US
Mailing Address - Phone:858-380-7691
Mailing Address - Fax:
Practice Address - Street 1:8900 GROSSMONT BLVD # 4-3
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-4047
Practice Address - Country:US
Practice Address - Phone:858-380-7691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3975090261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health