Healthcare Provider Details

I. General information

NPI: 1982526034
Provider Name (Legal Business Name): LAUREN ELAINE COBB LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1862 AUBURN RD STE 118
DACULA GA
30019-1618
US

IV. Provider business mailing address

155 ADAMS LN
SUCHES GA
30572-2332
US

V. Phone/Fax

Practice location:
  • Phone: 706-400-8331
  • Fax:
Mailing address:
  • Phone: 706-400-8331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC015938
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: