Provider Demographics
NPI:1639748262
Name:HOBBS, MOLLIE ELIZABETH (MA MFT)
Entity Type:Individual
Prefix:
First Name:MOLLIE
Middle Name:ELIZABETH
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:MISS
Other - First Name:MOLLIE
Other - Middle Name:E
Other - Last Name:HOBBS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1908 NE 31ST ST
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-0637
Mailing Address - Country:US
Mailing Address - Phone:763-607-3588
Mailing Address - Fax:
Practice Address - Street 1:6051 N BROOKLINE AVE STE 108
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4286
Practice Address - Country:US
Practice Address - Phone:405-607-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-18
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty