Provider Demographics
NPI:1962250381
Name:JOBE FAMILY BEHAVIORAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:JOBE FAMILY BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOBE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LSCSW, LCSW
Authorized Official - Phone:316-295-3495
Mailing Address - Street 1:10100 W MAPLE ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-3148
Mailing Address - Country:US
Mailing Address - Phone:316-295-3495
Mailing Address - Fax:316-867-1769
Practice Address - Street 1:10100 W MAPLE ST STE 102
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-3148
Practice Address - Country:US
Practice Address - Phone:316-295-3495
Practice Address - Fax:316-867-1769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty