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NPI Code Detail

MEDICARE: LAURA A COOK LPC

MEDICARE: LAURA A COOK LPC
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
1101YM0800XMental Health Counselor0701004783VA

General Provider Information

NPI Number : 1679892301
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A COOK LPC
Provider Business Mailing Address
First Line : 4310 METRO PKWY STE 205
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-9416
Country : US
Telephone Number : 239-690-6906
Fax Number :
Provider Business Practice Location Address
First Line : 4410 CLAIBORNE SQ E STE 334
Second Line :
City : HAMPTON
State : VA
Zip : 23666-2074
Country : US
Telephone Number : 576-061-3777
Fax Number : 757-951-1286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2010
Last Update Date : 12/17/2025

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Directions to “ LAURA A COOK LPC” Practice Location

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