Provider Demographics
NPI:1891831434
Name:KOBOS-MOSELEY, LAURA A (MS, LPC, CRC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:KOBOS-MOSELEY
Suffix:
Gender:F
Credentials:MS, LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 OLD LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-3428
Mailing Address - Country:US
Mailing Address - Phone:336-476-2775
Mailing Address - Fax:336-277-8534
Practice Address - Street 1:207 OLD LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-3428
Practice Address - Country:US
Practice Address - Phone:336-476-2775
Practice Address - Fax:336-277-8534
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2810 - LPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102092Medicaid
NC0007782643OtherAETNA
NC140V3OtherBLUE CROSS