Provider Demographics
NPI:1629964598
Name:COOKE'S FOR KID'S
Entity type:Organization
Organization Name:COOKE'S FOR KID'S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR. OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC CDCA
Authorized Official - Phone:513-620-5924
Mailing Address - Street 1:230 NORTHLAND BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3600
Mailing Address - Country:US
Mailing Address - Phone:513-620-5924
Mailing Address - Fax:513-620-5924
Practice Address - Street 1:230 NORTHLAND BLVD STE 217
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-3600
Practice Address - Country:US
Practice Address - Phone:513-620-5924
Practice Address - Fax:513-620-5924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)