Provider Demographics
NPI:1427851047
Name:RENSHAW, BOBBE GAYE (MMFT,LMFT)
Entity type:Individual
Prefix:
First Name:BOBBE
Middle Name:GAYE
Last Name:RENSHAW
Suffix:
Gender:
Credentials:MMFT,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:HODGENVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42748-0201
Mailing Address - Country:US
Mailing Address - Phone:270-201-5068
Mailing Address - Fax:
Practice Address - Street 1:45 LINCOLN SQ
Practice Address - Street 2:
Practice Address - City:HODGENVILLE
Practice Address - State:KY
Practice Address - Zip Code:42748-1551
Practice Address - Country:US
Practice Address - Phone:270-201-5068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY291804106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist