Provider Demographics
NPI:1134511850
Name:KATHRYN M. COX, LPC
Entity Type:Organization
Organization Name:KATHRYN M. COX, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-686-3984
Mailing Address - Street 1:1629 4TH AVE SE
Mailing Address - Street 2:SUITE 114
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4900
Mailing Address - Country:US
Mailing Address - Phone:256-686-2935
Mailing Address - Fax:256-615-8667
Practice Address - Street 1:1629 4TH AVE SE
Practice Address - Street 2:SUITE 114
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4900
Practice Address - Country:US
Practice Address - Phone:256-686-2935
Practice Address - Fax:256-615-8667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2588101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty