Provider Demographics
NPI:1255900031
Name:YOKLEY, BOBBIE JO (LSW, LADAC II)
Entity type:Individual
Prefix:MRS
First Name:BOBBIE
Middle Name:JO
Last Name:YOKLEY
Suffix:
Gender:F
Credentials:LSW, LADAC II
Other - Prefix:
Other - First Name:BOBBIE
Other - Middle Name:JO
Other - Last Name:YOKLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LADAC II
Mailing Address - Street 1:300 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:KY
Mailing Address - Zip Code:42134-8600
Mailing Address - Country:US
Mailing Address - Phone:270-776-4810
Mailing Address - Fax:
Practice Address - Street 1:99 WHITE BRIDGE PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1448
Practice Address - Country:US
Practice Address - Phone:270-776-4810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDC0000001167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional