Provider Demographics
NPI:1679362677
Name:COCKMAN, SKYE EULA (LCMHCA)
Entity type:Individual
Prefix:
First Name:SKYE
Middle Name:EULA
Last Name:COCKMAN
Suffix:
Gender:
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 ATLANTIC RD
Mailing Address - Street 2:
Mailing Address - City:ROBBINS
Mailing Address - State:NC
Mailing Address - Zip Code:27325-7599
Mailing Address - Country:US
Mailing Address - Phone:910-315-1504
Mailing Address - Fax:
Practice Address - Street 1:431 ATLANTIC RD
Practice Address - Street 2:
Practice Address - City:ROBBINS
Practice Address - State:NC
Practice Address - Zip Code:27325-7599
Practice Address - Country:US
Practice Address - Phone:910-315-1504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health