| Doctor Name: | MRS. PATRICIA W. COSEY |
| NPI Number: | 1003844275 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICENSED PROFESSIONA |
| License Number: | 003066 |
| Business Practice Address: | 2310 N. Patterson St. Unit G. Valdosta, GA - 31602 |
| Business Phone Number: | 2292449688 |
| Business Fax Number: | 2292445354 |
| Mailing Address: | 1811 Green Cir Ste B, VALDOSTA |
| State: | GA |
| Postal Code: | 316022784 |
| Phone Number: | 2292449688 |
| Fax Number: | 2292445354 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 01/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 003066 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |