Provider Demographics
NPI:1528563723
Name:HOBBS, LAURIE WEBSTER (LPCA)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:WEBSTER
Last Name:HOBBS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7615 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-5017
Mailing Address - Country:US
Mailing Address - Phone:704-365-4545
Mailing Address - Fax:
Practice Address - Street 1:7615 COLONY RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5017
Practice Address - Country:US
Practice Address - Phone:704-365-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11971101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA11971OtherNCLPC LICENSE NUMBER