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General NPI Number Information
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NPI Number | 1629964598
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Entity Type | Organization
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Legal Business Name | COOKE'S FOR KID'S
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 230 NORTHLAND BLVD STE 217
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City | SPRINGDALE
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State | OH
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Zip | 45246-3600
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Country | US
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Telephone | 513-620-5924
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Fax | 513-620-5924
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Provider Business Mailing Address
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Address Line | 230 NORTHLAND BLVD STE 217
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City | SPRINGDALE
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State | OH
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Zip | 45246-3600
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Country | US
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Telephone | 513-620-5924
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Fax | 513-620-5924
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Authorized Official
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Title or Position | DIRECTOR. OWNER
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Name | STEPHANIE JEAN COOKE
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Credential | LPC. CDCA
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Telephone | 513-620-5924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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