Provider Demographics
NPI:1245945575
Name:COBBS, BRANDY RAY (LICSW)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:RAY
Last Name:COBBS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 SHERMAN ST SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3009
Mailing Address - Country:US
Mailing Address - Phone:256-616-7027
Mailing Address - Fax:
Practice Address - Street 1:437 SHERMAN ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3009
Practice Address - Country:US
Practice Address - Phone:256-616-7027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1466C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical