Provider Demographics
NPI:1942485909
Name:JO ANNE COOK, PC
Entity Type:Organization
Organization Name:JO ANNE COOK, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LCDC
Authorized Official - Phone:806-322-2200
Mailing Address - Street 1:1800 S WASHINGTON ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-2610
Mailing Address - Country:US
Mailing Address - Phone:806-322-2200
Mailing Address - Fax:806-322-2201
Practice Address - Street 1:1800 S WASHINGTON ST
Practice Address - Street 2:SUITE 206
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-2610
Practice Address - Country:US
Practice Address - Phone:806-322-2200
Practice Address - Fax:806-322-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8030101YA0400X
TX13863101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty