Provider Demographics
NPI:1023322872
Name:SADLER, COBIE DALE II (LPC, MHSP)
Entity type:Individual
Prefix:MR
First Name:COBIE
Middle Name:DALE
Last Name:SADLER
Suffix:II
Gender:M
Credentials:LPC, MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 FOSTER DR
Mailing Address - Street 2:
Mailing Address - City:WHITE HOUSE
Mailing Address - State:TN
Mailing Address - Zip Code:37188-4066
Mailing Address - Country:US
Mailing Address - Phone:615-285-0095
Mailing Address - Fax:740-879-1847
Practice Address - Street 1:116 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:WHITE HOUSE
Practice Address - State:TN
Practice Address - Zip Code:37188-9163
Practice Address - Country:US
Practice Address - Phone:615-285-0095
Practice Address - Fax:740-879-1847
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6420177101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional