Provider Demographics
NPI:1790753978
Name:COOKE, SOPHIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SOPHIE
Middle Name:
Last Name:COOKE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3338 BLUEBONNET MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5537
Mailing Address - Country:US
Mailing Address - Phone:832-283-4928
Mailing Address - Fax:281-492-6247
Practice Address - Street 1:1331 W GRAND PKWY S
Practice Address - Street 2:STE 320
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8288
Practice Address - Country:US
Practice Address - Phone:832-283-4928
Practice Address - Fax:281-492-6247
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17839101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional