Provider Demographics
NPI:1508014606
Name:HOBBS, SANDY L (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:SANDY
Middle Name:L
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:SANDY
Other - Middle Name:L
Other - Last Name:HOBBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:13460 N 94TH DR
Mailing Address - Street 2:SUITE K3
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4835
Mailing Address - Country:US
Mailing Address - Phone:623-974-3333
Mailing Address - Fax:623-974-3390
Practice Address - Street 1:13460 N 94TH DR
Practice Address - Street 2:SUITE K3
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4835
Practice Address - Country:US
Practice Address - Phone:623-974-3333
Practice Address - Fax:623-974-3390
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0731101YS0200X, 106H00000X
AZLPC-0731101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health