Provider Demographics
NPI:1902793912
Name:COBB, LAILA (MS)
Entity type:Individual
Prefix:
First Name:LAILA
Middle Name:
Last Name:COBB
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-9505
Mailing Address - Country:US
Mailing Address - Phone:717-982-2525
Mailing Address - Fax:
Practice Address - Street 1:3109 N FRONT ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-1310
Practice Address - Country:US
Practice Address - Phone:717-256-4641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health