Provider Demographics
NPI:1730970468
Name:COKER, CHRISTAL COMPTON
Entity type:Individual
Prefix:
First Name:CHRISTAL
Middle Name:COMPTON
Last Name:COKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3009 SOUTHRIDGE RD W
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3432
Mailing Address - Country:US
Mailing Address - Phone:601-481-4510
Mailing Address - Fax:
Practice Address - Street 1:3009 SOUTHRIDGE RD W
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3432
Practice Address - Country:US
Practice Address - Phone:601-481-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician