Provider Demographics
NPI:1508675018
Name:SOBECK, GEORGIA KAY
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:KAY
Last Name:SOBECK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 HIGH VIEW RANCH DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78612-4883
Mailing Address - Country:US
Mailing Address - Phone:512-549-0943
Mailing Address - Fax:
Practice Address - Street 1:3919 W WACO DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7107
Practice Address - Country:US
Practice Address - Phone:254-379-9486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician