Provider Demographics
NPI:1700816097
Name:TROUT, COBIN LEIGH (LPCC-S)
Entity Type:Individual
Prefix:MRS
First Name:COBIN
Middle Name:LEIGH
Last Name:TROUT
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COBIN TROUT CHILD WELLNESS SERVICES, LLC
Mailing Address - Street 2:10921 REED HARTMAN HWY SUITE 111
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2830
Mailing Address - Country:US
Mailing Address - Phone:513-680-4892
Mailing Address - Fax:513-745-9171
Practice Address - Street 1:COBIN TROUT CHILD WELLNESS SERVICES LLC
Practice Address - Street 2:10921 REED HARTMAN HWY SUITE 111
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-2830
Practice Address - Country:US
Practice Address - Phone:513-745-9148
Practice Address - Fax:513-745-9171
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0004341-S101YM0800X
OHE.0004341-SUPV101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000335988OtherANTHEM BC/BS