Provider Demographics
NPI:1518070143
Name:COX, CHERYL L (LPC,)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:COX
Suffix:
Gender:F
Credentials:LPC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 ROCKBRIDGE AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-1339
Mailing Address - Country:US
Mailing Address - Phone:757-321-2680
Mailing Address - Fax:
Practice Address - Street 1:1709 COLLEY AVE
Practice Address - Street 2:STE 306
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-1675
Practice Address - Country:US
Practice Address - Phone:757-490-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002489101YP2500X
VA0717000021106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional