Provider Demographics
NPI:1780082370
Name:AMMON, LORIE ANN MOBLEY (LPC)
Entity type:Individual
Prefix:
First Name:LORIE
Middle Name:ANN MOBLEY
Last Name:AMMON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7557 RAMBLER RD STE 730
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-2405
Mailing Address - Country:US
Mailing Address - Phone:972-638-0905
Mailing Address - Fax:214-696-2977
Practice Address - Street 1:7557 RAMBLER RD STE 730
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2405
Practice Address - Country:US
Practice Address - Phone:972-638-0905
Practice Address - Fax:214-696-2977
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-12
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69984101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX69984OtherLICENSED PROFESSIONAL COUNSELOR