Provider Demographics
NPI:1215723838
Name:COOK, STOREY (LPC)
Entity type:Individual
Prefix:
First Name:STOREY
Middle Name:
Last Name:COOK
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 OAKDALE DR
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:TX
Mailing Address - Zip Code:76712-3557
Mailing Address - Country:US
Mailing Address - Phone:254-716-2206
Mailing Address - Fax:
Practice Address - Street 1:8225 CENTRAL PARK DR STE 600
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-0008
Practice Address - Country:US
Practice Address - Phone:254-870-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88756101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional