Provider Demographics
NPI:1609340421
Name:COBBS, ALETHA R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALETHA
Middle Name:R
Last Name:COBBS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ALETHA
Other - Middle Name:R
Other - Last Name:MATHIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2219 CLOVER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216-7421
Mailing Address - Country:US
Mailing Address - Phone:972-765-2606
Mailing Address - Fax:
Practice Address - Street 1:2219 CLOVER RIDGE DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-7421
Practice Address - Country:US
Practice Address - Phone:972-765-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-15
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX532861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical