Provider Demographics
NPI:1669243002
Name:HOBIN, ALICE BRINKLEY
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:BRINKLEY
Last Name:HOBIN
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 1:306 ROYAL PALM AVE
Mailing Address - Street 2:
Mailing Address - City:SURF CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28445-6941
Mailing Address - Country:US
Mailing Address - Phone:919-522-6656
Mailing Address - Fax:
Practice Address - Street 1:14057 US HIGHWAY 17 STE 200
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-3793
Practice Address - Country:US
Practice Address - Phone:910-821-1418
Practice Address - Fax:866-860-0997
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19571101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health