Provider Demographics
NPI:1013236611
Name:LISA HOBON AND ASSOCIATES
Entity type:Organization
Organization Name:LISA HOBON AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOBON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:940-784-3357
Mailing Address - Street 1:PO BOX 6662
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-0662
Mailing Address - Country:US
Mailing Address - Phone:940-784-3357
Mailing Address - Fax:
Practice Address - Street 1:8800 US HIGHWAY 380 STE 600
Practice Address - Street 2:
Practice Address - City:CROSSROADS
Practice Address - State:TX
Practice Address - Zip Code:76227-2516
Practice Address - Country:US
Practice Address - Phone:940-784-3357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX419141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty