Provider Demographics
NPI:1437386836
Name:COX, CARTHIA C (LPC, CRC)
Entity Type:Individual
Prefix:MRS
First Name:CARTHIA
Middle Name:C
Last Name:COX
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3251 ROCKMILL DR
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-6311
Mailing Address - Country:US
Mailing Address - Phone:404-474-7864
Mailing Address - Fax:
Practice Address - Street 1:3251 ROCKMILL DR
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-6311
Practice Address - Country:US
Practice Address - Phone:404-474-7864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-12
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002910101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional