Healthcare Provider Details

I. General information

NPI: 1881529253
Provider Name (Legal Business Name): JEANNEA NICHOLE COBB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 E 22ND ST
CLEVELAND OH
44114-4409
US

IV. Provider business mailing address

869 HIGH ST
BEDFORD OH
44146-3868
US

V. Phone/Fax

Practice location:
  • Phone: 216-687-2277
  • Fax:
Mailing address:
  • Phone: 440-409-2790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: