Healthcare Provider Details

I. General information

NPI: 1194571521
Provider Name (Legal Business Name): HOPE ANNA COOK PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

558 GRAVOIS RD
FENTON MO
63026-4134
US

IV. Provider business mailing address

558 GRAVOIS RD STE L102
FENTON MO
63026-4134
US

V. Phone/Fax

Practice location:
  • Phone: 636-333-2641
  • Fax:
Mailing address:
  • Phone: 636-333-2641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2024014793
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: