Provider Demographics
NPI:1225676893
Name:COOK, STUART ELDON (LPC-MHSP)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:ELDON
Last Name:COOK
Suffix:
Gender:M
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8570 CORDES CIR STE 13
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-3341
Mailing Address - Country:US
Mailing Address - Phone:901-257-9031
Mailing Address - Fax:
Practice Address - Street 1:8570 CORDES CIR STE 13
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-3341
Practice Address - Country:US
Practice Address - Phone:901-257-9031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-14
Last Update Date:2019-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional