Provider Demographics
NPI:1487031696
Name:COBLE, WHITNEY (LPCA)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:COBLE
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 S ASHLAND DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-1844
Mailing Address - Country:US
Mailing Address - Phone:336-266-5489
Mailing Address - Fax:
Practice Address - Street 1:4415 MONROE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7754
Practice Address - Country:US
Practice Address - Phone:704-332-3634
Practice Address - Fax:704-332-1801
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional