Provider Demographics
NPI:1417658154
Name:COBB, JANICE E
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:E
Last Name:COBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1449 FIELDCREST CIR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1496
Mailing Address - Country:US
Mailing Address - Phone:210-571-4162
Mailing Address - Fax:
Practice Address - Street 1:SOUTH CAROLINA DEPARTMENT OF MENTAL HEALTH
Practice Address - Street 2:205 PIEDMONT BLVD, SUITE 100
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2973
Practice Address - Country:US
Practice Address - Phone:803-323-0182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health