1922292440 NPI number — MRS. GAYE ALLEN-COOK M.A., LPC

Table of content: MRS. GAYE ALLEN-COOK M.A., LPC (NPI 1922292440)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922292440 NPI number — MRS. GAYE ALLEN-COOK M.A., LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALLEN-COOK
Provider First Name:
GAYE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALLEN-COOK
Provider Other First Name:
LINDA
Provider Other Middle Name:
GAYE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1922292440
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1505B HERITAGE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLORENCE
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29505-3141
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-664-8715
Provider Business Mailing Address Fax Number:
843-664-8729

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1505B HERITAGE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLORENCE
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29505-3141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-664-8715
Provider Business Practice Location Address Fax Number:
843-664-8729
Provider Enumeration Date:
08/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  4938 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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