MEDICARE: CRISTEN COKER COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1023416260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRISTEN COKER COUNSELING LLC

Provider Business Mailing Address
First Line	:	509 LIVE OAK ST OFC 1
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32132-1553
Country	:	US
Telephone Number	:	386-663-4495
Fax Number	:	386-269-6121

Provider Business Practice Location Address
First Line	:	509 LIVE OAK ST OFC 1
Second Line	:
City	:	EDGEWATER
State	:	FL
Zip	:	32132-1553
Country	:	US
Telephone Number	:	386-663-4495
Fax Number	:	386-269-6121

Authorized Official
Title or Position	:	OWNER AND THERAPIST
Name	:	CRISTEN COKER
Credential	:	LMHC
Telephone Number	:	386-663-4495

Provider Enumeration Date	:	12/19/2014
Last Update Date	:	10/16/2025

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Directions to “CRISTEN COKER COUNSELING LLC ” Practice Location

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