Provider Demographics
NPI:1225402308
Name:COOKS, VICTORIA (BA)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:COOKS
Suffix:
Gender:
Credentials:BA
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:HARTFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:1162 OLIVER RD STE 4
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5757
Mailing Address - Country:US
Mailing Address - Phone:318-340-1535
Mailing Address - Fax:318-340-1539
Practice Address - Street 1:1162 OLIVER RD STE 4
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5757
Practice Address - Country:US
Practice Address - Phone:318-340-1535
Practice Address - Fax:318-340-1539
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-30
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health