MYISHA COCKERHAM
NPI 1215826979
Counselor - Addiction (Substance Use Disorder) in Winston Salem, NC

Active since June 30, 2025
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103(336) 842-6980(336) 842-6980 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Counselor
  • Addiction (Substance Use Disorder)

About MYISHA COCKERHAM

This page provides the complete NPI Profile along with additional information for Myisha Cockerham, a provider established in Winston Salem, North Carolina with a medical specialization in Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1215826979 assigned on June 2025. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1215826979 Verify this NPI
Provider Name
MYISHA COCKERHAM
Gender
Female
Entity Type
Individual
Location Address
1617 S HAWTHORNE RD WINSTON SALEM, NC 27103
Location Phone
(336) 842-6980
Location Fax
(336) 842-6980
Mailing Address
1617 S HAWTHORNE RD WINSTON SALEM, NC 27103
Mailing Phone
(336) 842-6980
Is Sole Proprietor?
Yes
Enumeration Date
06-30-2025
Last Update Date
06-30-2025
Code Navigator

A Substance Abuse or Addiction Counselor like Myisha Cockerham advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Addiction (Substance Use Disorder)

Taxonomy Code
101YA0400X
Type
Behavioral Health & Social Service Providers

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1617 S HAWTHORNE RD
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Counselor (Addiction (Substance Use Disorder))
1617 S HAWTHORNE RD
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1617 S HAWTHORNE RD
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Licensed Practical Nurse
1617 S HAWTHORNE RD
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Counselor (Addiction (Substance Use Disorder))
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Counselor (Addiction (Substance Use Disorder))
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Licensed Practical Nurse
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Counselor (Addiction (Substance Use Disorder))
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Counselor (Addiction (Substance Use Disorder))
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Licensed Practical Nurse
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Counselor (Addiction (Substance Use Disorder))
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Licensed Practical Nurse
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Licensed Practical Nurse
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Counselor
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215826979, enumerated as an "individual" on June 30, 2025.

The provider is located at 1617 S HAWTHORNE RD WINSTON SALEM, NC 27103 and the phone number is (336) 842-6980.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).