Provider Demographics
NPI:1932494721
Name:COBBS, MELISSA MORGAN (PHD, LCMHCS, LCAS)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MORGAN
Last Name:COBBS
Suffix:
Gender:F
Credentials:PHD, LCMHCS, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10430 HARRIS OAK BLVD STE L
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7513
Mailing Address - Country:US
Mailing Address - Phone:814-572-4971
Mailing Address - Fax:
Practice Address - Street 1:1942 E 7TH ST STE 220
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2418
Practice Address - Country:US
Practice Address - Phone:704-360-3637
Practice Address - Fax:704-323-5899
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2049101Y00000X
NCLCAS-2049101YA0400X
NCCCS-20268101YM0800X
NCS8942101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6112343Medicaid