Provider Demographics
NPI:1851685762
Name:HOBBS, KATHY BRINKLEY (LMHC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:BRINKLEY
Last Name:HOBBS
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W ADAMS ST STE 240
Mailing Address - Street 2:SUITE #240
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-4365
Mailing Address - Country:US
Mailing Address - Phone:904-353-2949
Mailing Address - Fax:904-353-2959
Practice Address - Street 1:300 W ADAMS ST STE 240
Practice Address - Street 2:SUITE #240
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202-4365
Practice Address - Country:US
Practice Address - Phone:904-353-2949
Practice Address - Fax:904-353-2959
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3960101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health