Provider Demographics
NPI:1316270093
Name:COOK, WANDA S (LPC-S)
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:S
Last Name:COOK
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22819 LAURELWOOD LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-6900
Mailing Address - Country:US
Mailing Address - Phone:281-731-4203
Mailing Address - Fax:281-445-7679
Practice Address - Street 1:22819 LAURELWOOD LN
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-6900
Practice Address - Country:US
Practice Address - Phone:281-731-4203
Practice Address - Fax:281-445-7879
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61511101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional