Provider Demographics
NPI:1235464454
Name:COX, ANGELA (LPCMH, CADC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:LPCMH, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 ALDER RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-4820
Mailing Address - Country:US
Mailing Address - Phone:240-298-1014
Mailing Address - Fax:
Practice Address - Street 1:334 ALDER RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4820
Practice Address - Country:US
Practice Address - Phone:240-298-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD589561803Medicaid