Provider Demographics
NPI:1669261822
Name:MOBLEY, TATUM HOGAN (LPC-MHSP (TEMP), NCC)
Entity type:Individual
Prefix:MRS
First Name:TATUM
Middle Name:HOGAN
Last Name:MOBLEY
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMP), NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4878
Mailing Address - Country:US
Mailing Address - Phone:931-548-4475
Mailing Address - Fax:
Practice Address - Street 1:1400 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4878
Practice Address - Country:US
Practice Address - Phone:931-548-4475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7827101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health