Provider Demographics
NPI:1871308403
Name:DOBBINS, CHARLES LEE II (LMSW)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:LEE
Last Name:DOBBINS
Suffix:II
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:CHARLES
Other - Middle Name:LEE
Other - Last Name:DOBBINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:501 MANHATTAN BLVD STE 2400
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-4443
Mailing Address - Country:US
Mailing Address - Phone:504-349-7722
Mailing Address - Fax:
Practice Address - Street 1:501 MANHATTAN BLVD STE 2400
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-4443
Practice Address - Country:US
Practice Address - Phone:504-349-7722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YS0200X
LA5992101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool