MEDICARE: ROSA COHEN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC014705	GA

General Provider Information

NPI Number	:	1639036437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA COHEN LPC

Provider Business Mailing Address
First Line	:	109 CUMBERLAND XING SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-7783
Country	:	US
Telephone Number	:	404-668-3975
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 CUMBERLAND XING SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-7783
Country	:	US
Telephone Number	:	404-668-3975
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ ROSA COHEN LPC” Practice Location

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