Provider Demographics
NPI:1447780432
Name:N. DAVID HUBBARD, LMHC, PL
Entity Type:Organization
Organization Name:N. DAVID HUBBARD, LMHC, PL
Other - Org Name:NORMAN DAVID HUBBARD
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MA, LMHC
Authorized Official - Phone:850-307-5273
Mailing Address - Street 1:PO BOX 5116
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-5116
Mailing Address - Country:US
Mailing Address - Phone:850-240-9551
Mailing Address - Fax:850-279-4999
Practice Address - Street 1:156 N COUNTY HIGHWAY 393
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-5349
Practice Address - Country:US
Practice Address - Phone:850-307-5273
Practice Address - Fax:850-279-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2194101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty