Organization
LAKESHORE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA COOK LCSW (OWNER)
(385) 240-1612
Entity
Organization
Contact information
Practice address
780 S 2000 W STE A105, SYRACUSE, UT 84075-9612
(385) 240-1612
Mailing address
780 S 2000 W STE A105, SYRACUSE, UT 84075-9612
(385) 240-1612
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
02/04/2026
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