Individual
MRS. EMMA STACY COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PIP
Contact information
Practice address
109 MEDICAL PARK DR STE C, ANDALUSIA, AL 36420-5364
(334) 222-1818
(334) 222-1919
Mailing address
109 MEDICAL PARK DR STE C, ANDALUSIA, AL 36420-5364
(334) 222-1818
(334) 222-1919
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3184C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679807291
CMS
AL
Enumeration date
01/26/2010
Last updated
04/15/2026
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