Provider Demographics
NPI:1629499223
Name:COX, MARLENA
Entity Type:Individual
Prefix:MS
First Name:MARLENA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W ASH ST
Mailing Address - Street 2:STE 109
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-3662
Mailing Address - Country:US
Mailing Address - Phone:919-731-4455
Mailing Address - Fax:
Practice Address - Street 1:200 W ASH ST
Practice Address - Street 2:STE 109
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-3662
Practice Address - Country:US
Practice Address - Phone:919-731-4455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-27
Last Update Date:2013-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health