Provider Demographics
NPI:1194050997
Name:POWELL, COKEY YVONNE (PHD)
Entity type:Individual
Prefix:DR
First Name:COKEY
Middle Name:YVONNE
Last Name:POWELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 UNIVERSITY BLVD S STE 119
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-2737
Mailing Address - Country:US
Mailing Address - Phone:619-318-4541
Mailing Address - Fax:904-904-4212
Practice Address - Street 1:3100 UNIVERSITY BLVD S STE 119
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-2737
Practice Address - Country:US
Practice Address - Phone:904-337-9950
Practice Address - Fax:904-212-2509
Is Sole Proprietor?:No
Enumeration Date:2009-10-12
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPS2009032103TC1900X
FLPMH1752101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling