Mobberly Baptist Church

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MOBBERLY BAPTIST CHURCH

Practice address

3032 N Eastman Rd Ste Longview
Longview, TX 75605-5019

Phone

(903) 252-4673

NPI assigned

Oct 30, 2018

Organization subpart

Yes

Parent organization

MOBBERLY BAPTIST CHURCHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregg Zackary

Title

Pastor of Marriage & Family Counsel

Phone

(903) 252-4673

Specialties & licenses 1

Addresses

Other names 1

• Hope Road Counseling Doing business as

Part of

Mobberly Baptist Church

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1902373764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E LOOP 281",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055004",
            "telephone_number": "903-663-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 N EASTMAN RD STE LONGVIEW",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055019",
            "telephone_number": "903-252-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBBERLY BAPTIST CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOBBERLY BAPTIST CHURCH",
        "enumeration_date": "2018-10-30",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ZACKARY",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "PASTOR OF MARRIAGE & FAMILY COUNSEL",
        "authorized_official_telephone_number": "903-252-4673",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Road Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Don Thomas Mitchell
• Hillary Mitchell, FNP-C
• Jack Paul Mitchell Jr., DC
• Benson Miugo
• MNT Associates LLC
• Erik Moberg
• Mobility Repair Specialists, Inc.
• Mobility Repair Specialists, Inc.
• John Erkel Mobley, C.R.N.A.
• Taylor Mobley, LPC ASSOCIATE

• Community/Behavioral Health Agency in Longview, TX
• Providers in Longview, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.