Provider Demographics
NPI:1417768839
Name:HOBBS, TARA (MRC, LPCC-S)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MRC, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 HENTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1300
Mailing Address - Country:US
Mailing Address - Phone:419-346-9816
Mailing Address - Fax:
Practice Address - Street 1:3248 WARSAW ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-1852
Practice Address - Country:US
Practice Address - Phone:419-244-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0002907-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health