Organization
OLIVIA FIELDS GOBBLE, LCSW LSSW, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA GOBBLE LCSW, LSSW (CLINICAL SOCIAL WORKER/THERAPIST)
(931) 242-4249
Entity
Organization
Contact information
Practice address
413 W GAINES ST, LAWRENCEBURG, TN 38464-3110
(931) 242-4249
Mailing address
39 PURCELL RD, LEOMA, TN 38468-5380
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q072289
—
TN
Enumeration date
03/08/2022
Last updated
12/19/2022
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