Organization
THE T.A. COOK AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVON COOK (CEO)
(202) 873-0398
Entity
Organization
Contact information
Practice address
1535 MORRIS RD SE, STE 302, WASHINGTON, DC 20020
(202) 873-0398
Mailing address
712 H ST NE UNIT 669, WASHINGTON, DC 20002-3627
(202) 873-0398
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/02/2023
Last updated
10/05/2023
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