Provider Demographics
NPI:1922289131
Name:COOK, ALATHEA MARIE (LMHC, CASAC)
Entity Type:Individual
Prefix:MS
First Name:ALATHEA
Middle Name:MARIE
Last Name:COOK
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-2104
Mailing Address - Country:US
Mailing Address - Phone:845-255-2486
Mailing Address - Fax:
Practice Address - Street 1:16 BRUCE AVE
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-2104
Practice Address - Country:US
Practice Address - Phone:845-255-2486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health