Mobley, A Keith

Mobley, A Keith is an individual health care provider with primary practice located at 3707 W Market St Suite D, Greensboro NC 27403-1587. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mobley, A Keith can be contacted via phone (336) 430-1518.

Contact Information

Primary practice address
3707 W Market St Suite D Greensboro NC 27403-1587
Phone: (336) 430-1518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4081 North Carolina

Profile Details

NPI number 1750368346
LBN Legal business name Mobley, A Keith
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750368346 NPPES
North Carolina MEDICAID 6102154
North Carolina Other 133TN

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