Provider Demographics
NPI:1518231653
Name:COOKS, PAULA YEVETTE (LPC, NCC, LSW)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:YEVETTE
Last Name:COOKS
Suffix:
Gender:F
Credentials:LPC, NCC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 COUNTY ROAD 158
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:MS
Mailing Address - Zip Code:39355-9444
Mailing Address - Country:US
Mailing Address - Phone:601-479-7042
Mailing Address - Fax:601-735-0823
Practice Address - Street 1:84 COUNTY ROAD 158
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:MS
Practice Address - Zip Code:39355-9444
Practice Address - Country:US
Practice Address - Phone:601-479-7042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2023-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006322101YP2500X
GALPC008801101YP2500X
MS1487101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional