Provider Demographics
NPI:1194386227
Name:KOKIE'S COUNSELING
Entity Type:Organization
Organization Name:KOKIE'S COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:KOKIE
Authorized Official - Last Name:DINNAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:772-301-3285
Mailing Address - Street 1:1575 INDIAN RIVER BLVD STE C115
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-7126
Mailing Address - Country:US
Mailing Address - Phone:772-301-3285
Mailing Address - Fax:
Practice Address - Street 1:1575 INDIAN RIVER BLVD STE C115
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-7126
Practice Address - Country:US
Practice Address - Phone:772-301-3285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty