Individual provider · Type 1 NPI

Bethani Cogburn, PhD, LCMHC, QS

Mental Health Counselor · Charlotte, NC

NPI number 1053936336 Active

Practice location

1235 East Blvd, Ste E #176
Charlotte, NC 28203-5876

Call (704) 266-2087 Map

Mailing address

1235 East Blvd., Ste E #176
Charlotte, NC 28203-5876

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X13192 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1053936336

Bethani Cogburn, PhD, LCMHC, QS's National Provider Identifier is 1053936336, issued on Jun 11, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Aug 17, 2025.