Provider Demographics
NPI:1922292440
Name:ALLEN-COOK, GAYE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:GAYE
Middle Name:
Last Name:ALLEN-COOK
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:GAYE
Other - Last Name:ALLEN-COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1505B HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3141
Mailing Address - Country:US
Mailing Address - Phone:843-664-8715
Mailing Address - Fax:843-664-8729
Practice Address - Street 1:1505B HERITAGE LN
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-3141
Practice Address - Country:US
Practice Address - Phone:843-664-8715
Practice Address - Fax:843-664-8729
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4938101YM0800X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional