Individual
SHYLA MARIE HOBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC 3
Contact information
Practice address
5649 HICKORY ST, MENTOR ON THE LAKE, OH 44060-4406
(216) 849-4963
Mailing address
5649 HICKORY ST, MENTOR ON THE LAKE, OH 44060
(216) 849-4963
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCDCIII.162761
OH
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
0002565
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451784
—
OH
Enumeration date
07/10/2021
Last updated
11/04/2024
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