Provider Demographics
NPI:1427421692
Name:HOBBS, LEO D (MED, LCADC)
Entity type:Individual
Prefix:MR
First Name:LEO
Middle Name:D
Last Name:HOBBS
Suffix:
Gender:M
Credentials:MED, LCADC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4400 BRECKENRIDGE LN
Mailing Address - Street 2:STE 126
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-4135
Mailing Address - Country:US
Mailing Address - Phone:502-493-7794
Mailing Address - Fax:502-493-7795
Practice Address - Street 1:4400 BRECKENRIDGE LN
Practice Address - Street 2:STE 126
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4135
Practice Address - Country:US
Practice Address - Phone:502-493-7794
Practice Address - Fax:502-493-7795
Is Sole Proprietor?:No
Enumeration Date:2015-11-10
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYADCLAD00223238101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)