Provider Demographics
NPI:1528857265
Name:FIGUEROA, BOBBY JERMAINE (LPC)
Entity type:Individual
Prefix:
First Name:BOBBY
Middle Name:JERMAINE
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 OAK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SOPERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30457-3224
Mailing Address - Country:US
Mailing Address - Phone:912-245-5754
Mailing Address - Fax:
Practice Address - Street 1:554 OAK RIDGE RD
Practice Address - Street 2:
Practice Address - City:SOPERTON
Practice Address - State:GA
Practice Address - Zip Code:30457-3224
Practice Address - Country:US
Practice Address - Phone:912-245-5754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015299101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional