Cooke, Priscilla D.

Cooke, Priscilla D. is an sole proprietor health care provider with primary practice located at 119 West Ave , Kannapolis NC 28081-4332. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Cooke, Priscilla D. can be contacted via phone (704) 630-6634.

Contact Information

Primary practice address
119 West Ave Kannapolis NC 28081-4332
Phone: (704) 630-6634
Fax: (866) 828-5520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C002692 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C002692 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1369 North Carolina

Profile Details

NPI number 1093805194
LBN Legal business name Cooke, Priscilla D.
Credentials MSW, LCSW, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jun 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093805194 NPPES
North Carolina MEDICAID 6003167

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