Provider Demographics
NPI:1285830893
Name:FOX, TRICIA L (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:L
Last Name:FOX
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11022 PENTLAND DOWNS ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-3998
Mailing Address - Country:US
Mailing Address - Phone:702-349-3140
Mailing Address - Fax:702-792-1160
Practice Address - Street 1:2980 SUNRIDGE HEIGHTS PKWY
Practice Address - Street 2:#120
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4464
Practice Address - Country:US
Practice Address - Phone:702-349-3140
Practice Address - Fax:702-792-1160
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV#0985106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist