Provider Demographics
NPI:1093106965
Name:COX, JOHARI K (MBA)
Entity Type:Individual
Prefix:MS
First Name:JOHARI
Middle Name:K
Last Name:COX
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 HOLLOW RUN DR
Mailing Address - Street 2:APT 728
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-5596
Mailing Address - Country:US
Mailing Address - Phone:317-453-1837
Mailing Address - Fax:
Practice Address - Street 1:6620 HOLLOW RUN DR
Practice Address - Street 2:APT 728
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-5596
Practice Address - Country:US
Practice Address - Phone:317-453-1837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor