Provider Demographics
NPI:1093196073
Name:GENIE HOBBS LCSW, LLC
Entity Type:Organization
Organization Name:GENIE HOBBS LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENIE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:720-255-4542
Mailing Address - Street 1:518 OLD SANTA FE TRAIL, STE 1
Mailing Address - Street 2:#314
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1307
Mailing Address - Country:US
Mailing Address - Phone:720-255-4542
Mailing Address - Fax:
Practice Address - Street 1:316 ARTIST RD
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-2078
Practice Address - Country:US
Practice Address - Phone:720-255-4542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty