Provider Demographics
NPI:1003426958
Name:COBB, SARAH M (CIT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:M
Last Name:COBB
Suffix:
Gender:F
Credentials:CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W BAYOU ST
Mailing Address - Street 2:
Mailing Address - City:FARMERVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71241-2707
Mailing Address - Country:US
Mailing Address - Phone:318-224-7135
Mailing Address - Fax:
Practice Address - Street 1:201 W BAYOU ST
Practice Address - Street 2:
Practice Address - City:FARMERVILLE
Practice Address - State:LA
Practice Address - Zip Code:71241-2707
Practice Address - Country:US
Practice Address - Phone:318-224-7135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)