Provider Demographics
NPI:1760703508
Name:COBB, CATHRON H (LCSW, LMFT)
Entity Type:Individual
Prefix:
First Name:CATHRON
Middle Name:H
Last Name:COBB
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:CATHRON
Other - Middle Name:
Other - Last Name:HILBURN-COBB, PH.D,
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LMFT
Mailing Address - Street 1:1333 CROOKED TREE CT SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-2433
Mailing Address - Country:US
Mailing Address - Phone:770-402-7017
Mailing Address - Fax:770-979-8413
Practice Address - Street 1:1333 CROOKED TREE CT SW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-2433
Practice Address - Country:US
Practice Address - Phone:770-402-7017
Practice Address - Fax:770-979-8413
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0028111041C0700X
GAMFT000893106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist