Individual
MS. ELLIE LAWANNA MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC-S, LCADC
Contact information
Practice address
504 S 24TH ST, MIDDLESBORO, KY 40965-1447
(606) 248-1540
Mailing address
100 S BROADWAY ST, GLASGOW, KY 42141-2604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165995
KY
101YM0800X
Mental Health Counselor
0557
KY
101YM0800X
Mental Health Counselor
Primary
105702
KY
101YM0800X
Mental Health Counselor
1200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100291930
—
KY
Enumeration date
04/20/2007
Last updated
03/19/2026
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