Provider Demographics
NPI:1437652427
Name:COX, CHANDLER ELISE (MED, LPC-I, NCC)
Entity Type:Individual
Prefix:
First Name:CHANDLER
Middle Name:ELISE
Last Name:COX
Suffix:
Gender:F
Credentials:MED, LPC-I, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-2902
Mailing Address - Country:US
Mailing Address - Phone:803-553-6297
Mailing Address - Fax:
Practice Address - Street 1:4006 E NORTH ST STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-6206
Practice Address - Country:US
Practice Address - Phone:864-326-4696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6677101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional