Healthcare Provider Details

I. General information

NPI: 1891831434
Provider Name (Legal Business Name): LAURA A KOBOS-MOSELEY MS, LPC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 OLD LEXINGTON RD
THOMASVILLE NC
27360-3428
US

IV. Provider business mailing address

207 OLD LEXINGTON RD
THOMASVILLE NC
27360-3428
US

V. Phone/Fax

Practice location:
  • Phone: 336-476-2775
  • Fax: 336-277-8534
Mailing address:
  • Phone: 336-476-2775
  • Fax: 336-277-8534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2810 - LPC
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: