Individual provider · Type 1 NPI

Tina Marie Cooke, LPC, LCADC, LCMHC

Professional Counselor · Wilmington, NC

NPI number 1437201399 Active

Practice location

1606 Harbour Dr
Wilmington, NC 28401-7716

Fax (910) 207-5335

Mailing address

1512 Bonito Ln
Carolina Beach, NC 28428-5765

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X37PC00016200 (NJ)
Addiction (Substance Use Disorder) Counselor 101YA0400X37LC00148000 (NJ)
Professional Counselor 101YP2500X37PC00016200 (NJ)
Professional Counselor Primary 101YP2500X15690 (NC)

Professional Counselor: Definition to come...

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About NPI 1437201399

Tina Marie Cooke, LPC, LCADC, LCMHC's National Provider Identifier is 1437201399, issued on Jan 18, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wilmington, NC. The record was last updated on Feb 22, 2026.