Provider Demographics
NPI:1013964501
Name:MOBLEY, (ROSE) MARION (MHR)
Entity Type:Individual
Prefix:MS
First Name:(ROSE) MARION
Middle Name:
Last Name:MOBLEY
Suffix:
Gender:F
Credentials:MHR
Other - Prefix:MS
Other - First Name:ROSE
Other - Middle Name:MARION
Other - Last Name:HOEHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10903 E 96TH PL N
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-4318
Mailing Address - Country:US
Mailing Address - Phone:918-376-2445
Mailing Address - Fax:918-376-9325
Practice Address - Street 1:5525 E 51ST ST
Practice Address - Street 2:SUITE #400
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-7461
Practice Address - Country:US
Practice Address - Phone:918-388-6214
Practice Address - Fax:918-388-6456
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health