KRISTINA COOKE, LCSW, LLC (NPI# 1265913792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265913792 |
| Entity Type | Organization |
| Organization Name | KRISTINA COOKE, LCSW, LLC |
| Practice Address |
2854 Johnson Ferry Rd Ste 200 Marietta GA 30062-5699 |
| Mailing Address |
5368 W Bank Dr Marietta GA 30068-1703 |
| Practice Telephone | 6784623579 |
| Mailing Telephone | 6784623579 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | KRISTINA COOKE (OWNER/THERAPIST) |
| Authorized Official Telephone | 6784623579 |
| Authorized Official Credential | LCSW, RPT-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
2854 JOHNSON FERRY RD STE 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-5699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630988 | Alexis Marie Ware | Counselor | 2854 Johnson Ferry Rd Ste 200, Marietta, GA 30062-5699 | 2011-12-13 |
| 1396354460 | Heib Life Therapy | Counselor | 2854 Johnson Ferry Rd Ste 200, Marietta, GA 30062-5699 | 2020-07-24 |
| 1174188130 | Aric Johnson | Counselor | 2854 Johnson Ferry Rd Ste 200, Marietta, GA 30062-5699 | 2019-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647708 | N'spired By Achievement Family Services & Solutions, LLC | Clinic/Center | 995 Roswell St Ne Ste 100, Marietta, GA 30060-2186 | 2018-04-23 |
| 1851892160 | Dr. Evan Thomas, LLC | Clinic/Center | 2470 Windy Hill Rd Se Ste 362, Marietta, GA 30067-8613 | 2018-02-22 |
| 1427400266 | Fresh Start Recovery Center, LLC | Clinic/Center | 25 Whitlock Pl Sw Ste 101, Marietta, GA 30064 | 2016-07-05 |
| 1962849927 | Angels In Disguise Counseling and Assessments, LLC | Clinic/Center | 3655 Canton Rd, Ste 110, Marietta, GA 30066-2690 | 2013-05-31 |
| 1023289022 | Recovery Solutions, PC | Clinic/Center | 3417 Canton Rd, Suite 402, Marietta, GA 30066-2896 | 2008-03-18 |
| 1306023494 | Oasis Counseling Inc | Clinic/Center | 379 Atlanta St Se, Marietta, GA 30060-2258 | 2008-01-30 |
| 1548889728 | Marcus Graham & Associates | Clinic/Center | 199 Frasier St Se, Marietta, GA 30060-2201 | 2020-04-08 |
| 1700421732 | Accepted Family Therapy Center | Clinic/Center | 1640 Powers Ferry Rd Se Ste 175, Marietta, GA 30067-5491 | 2019-11-13 |
| 1336613934 | Foundation Counseling, LLC | Clinic/Center | 2655 Dallas Hwy Sw Ste 240, Marietta, GA 30064-2597 | 2019-01-16 |
| 1104306083 | Mardella's Way, Inc. | Clinic/Center | 445 Windy Hill Rd Se, Marietta, GA 30060-7348 | 2018-08-20 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.