Provider Demographics
NPI:1427415496
Name:COX, RYAN SCOTT (LMSW)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:SCOTT
Last Name:COX
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 YOUREE DR STE 330B
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-3646
Mailing Address - Country:US
Mailing Address - Phone:318-236-2000
Mailing Address - Fax:318-236-2001
Practice Address - Street 1:2800 YOUREE DR STE 330B
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-3646
Practice Address - Country:US
Practice Address - Phone:318-236-2000
Practice Address - Fax:318-236-2001
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13338101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health