Provider Demographics
NPI:1609048933
Name:COX, ANDREW ANTHONY (LPC,LMFT,LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:ANTHONY
Last Name:COX
Suffix:
Gender:M
Credentials:LPC,LMFT,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1608
Mailing Address - Country:US
Mailing Address - Phone:706-649-6500
Mailing Address - Fax:706-649-6521
Practice Address - Street 1:2022 15TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1608
Practice Address - Country:US
Practice Address - Phone:706-649-6500
Practice Address - Fax:706-649-6521
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC000103101YP2500X
GACSW0028331041C0700X
GAMFT000167106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA80BBBFGLMedicare PIN