Provider Demographics
NPI:1790921567
Name:HOBBS, WANDA L I (LPC, MED)
Entity Type:Individual
Prefix:MS
First Name:WANDA
Middle Name:L
Last Name:HOBBS
Suffix:I
Gender:F
Credentials:LPC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9800 PAGEWOOD LN
Mailing Address - Street 2:UNIT # 3001
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-5530
Mailing Address - Country:US
Mailing Address - Phone:713-266-1730
Mailing Address - Fax:
Practice Address - Street 1:4803 SAN FELIPE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3907
Practice Address - Country:US
Practice Address - Phone:713-626-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional