Organization
COOKE'S FOR KID'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JEAN COOKE LPC. CDCA (DIRECTOR. OWNER)
(513) 620-5924
Entity
Organization
Contact information
Practice address
230 NORTHLAND BLVD STE 217, SPRINGDALE, OH 45246-3600
(513) 620-5924
(513) 620-5924
Mailing address
230 NORTHLAND BLVD STE 217, SPRINGDALE, OH 45246-3600
(513) 620-5924
(513) 620-5924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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