Provider Demographics
NPI:1275567737
Name:COKER, RITA KAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:KAY
Last Name:COKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3318 STURGIS LN
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-1749
Mailing Address - Country:US
Mailing Address - Phone:254-297-3547
Mailing Address - Fax:254-297-3396
Practice Address - Street 1:4800 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76711-1329
Practice Address - Country:US
Practice Address - Phone:254-297-3547
Practice Address - Fax:254-297-3396
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLMSW 40744104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker