Provider Demographics
NPI:1992514095
Name:COKER, SAMUEL PRESSLY III (LPC)
Entity type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:PRESSLY
Last Name:COKER
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 DAIRY MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-4012
Mailing Address - Country:US
Mailing Address - Phone:843-206-3765
Mailing Address - Fax:
Practice Address - Street 1:1000 DAIRY MEADOWS DR
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4012
Practice Address - Country:US
Practice Address - Phone:843-206-3765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional