| Mandi Danielle Cooke, LCSW, LCAS | |
|
4730 Woodsway Ln, Farmville, NC 27828-8513 | |
| (252) 315-0676 | |
| Not Available |
| Full Name | Mandi Danielle Cooke |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 4730 Woodsway Ln, Farmville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144869421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Haymount Institute For Psychological Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528239993 PECOS PAC ID: 1153498415 Enrollment ID: O20080929000365 |
| Entity Name | Eventus Wholehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandi Danielle Cooke, LCSW, LCAS 4730 Woodsway Ln, Farmville, NC 27828-8513 Ph: (252) 315-0676 | Mandi Danielle Cooke, LCSW, LCAS 4730 Woodsway Ln, Farmville, NC 27828-8513 Ph: (252) 315-0676 |
Ms. Victoria Mcdougald, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3707 N Main St Ste C, Farmville, NC 27828 Phone: 252-228-9595 | |
Miss Kimyatta Shevone Anderson, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3707 N Main St, Farmville, NC 27828 Phone: 252-753-5100 Fax: 252-753-5121 |