Provider Demographics
NPI:1679732465
Name:MOBLEY, FRANCES H (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:H
Last Name:MOBLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:163 FANNIN LANDING CIR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-9380
Mailing Address - Country:US
Mailing Address - Phone:601-942-5355
Mailing Address - Fax:
Practice Address - Street 1:163 FANNIN LANDING CIR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-9380
Practice Address - Country:US
Practice Address - Phone:601-942-5355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC22781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00758335Medicaid
MS00758335Medicaid