Provider Demographics
NPI:1871469296
Name:COBY, CAMILLE LORRAINE (MA, LLPC)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:LORRAINE
Last Name:COBY
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29972 BARWELL RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-4704
Mailing Address - Country:US
Mailing Address - Phone:313-629-6187
Mailing Address - Fax:
Practice Address - Street 1:29972 BARWELL RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-4704
Practice Address - Country:US
Practice Address - Phone:313-629-6187
Practice Address - Fax:313-629-6187
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022140101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty