Provider Demographics
NPI:1609904820
Name:COOK, ANNE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:MARIE
Last Name:COOK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:MAREK
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:21830 KINGSLAND BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450
Mailing Address - Country:US
Mailing Address - Phone:281-645-6487
Mailing Address - Fax:281-398-1540
Practice Address - Street 1:21830 KINGSLAND BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-645-6487
Practice Address - Fax:281-398-1540
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX192651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical