Provider Demographics
NPI:1528105905
Name:COBB, ALISHA L (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:L
Last Name:COBB
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:A
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:536 CATLETT DR
Mailing Address - Street 2:
Mailing Address - City:KODAK
Mailing Address - State:TN
Mailing Address - Zip Code:37764-2265
Mailing Address - Country:US
Mailing Address - Phone:865-776-6761
Mailing Address - Fax:
Practice Address - Street 1:1806 MARBLE AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37760-2010
Practice Address - Country:US
Practice Address - Phone:865-776-6761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health