Provider Demographics
NPI:1780438655
Name:COBB, APRIL LATRICE (MA)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LATRICE
Last Name:COBB
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:LATRICE
Other - Last Name:LARKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16745 LINDSAY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3406
Mailing Address - Country:US
Mailing Address - Phone:313-318-0447
Mailing Address - Fax:
Practice Address - Street 1:24901 NORTHWESTERN HWY STE 500
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2212
Practice Address - Country:US
Practice Address - Phone:248-530-5380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional