Provider Demographics
NPI:1801109806
Name:MORGAN, BOBBYE KRISTIN (LPC, NCC, LCDC,)
Entity type:Individual
Prefix:MRS
First Name:BOBBYE
Middle Name:KRISTIN
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC, NCC, LCDC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2526 82ND ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2221
Mailing Address - Country:US
Mailing Address - Phone:806-445-3995
Mailing Address - Fax:806-281-9699
Practice Address - Street 1:2526 82ND ST
Practice Address - Street 2:SUITE E
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2221
Practice Address - Country:US
Practice Address - Phone:806-445-3995
Practice Address - Fax:806-281-9699
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-19
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64731101Y00000X, 101YM0800X, 101YP2500X
TX11125101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX64731OtherLPC
TX11125OtherLCDC