Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Myisha Cockerham

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215826979

Myisha Cockerham is an Addiction (Substance Use Disorder) Counselor in Winston Salem, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1617 S Hawthorne Rd
Winston Salem, NC 27103-4127
Phone: (336) 842-6980
Fax: (336) 842-6980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1215826979
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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