ANDREA D. COOK – NPI #1063003242
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

ANDREA COOK is a community based residential treatment facility located in MARBLE HILL, MO. NPPES has assigned the NPI number 1063003242 to ANDREA COOK on January 29, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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NPI Profile for
ANDREA D. COOK

NPI Number
1063003242
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANDREA D. COOK
Primary location
HC 64 BOX 4683
MARBLE HILL, MO 63764-9408
Phone: (573) 238-1300 Fax: (573) 238-1302
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jan 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.