Provider Demographics
NPI:1467937003
Name:COBB, LYNN ANN (LPC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:ANN
Last Name:COBB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5509 EVERETT AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-5007
Mailing Address - Country:US
Mailing Address - Phone:806-683-9922
Mailing Address - Fax:
Practice Address - Street 1:1501 SW 10TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-3006
Practice Address - Country:US
Practice Address - Phone:806-683-9922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional