Provider Demographics
NPI:1639697808
Name:COX, MICHAEL (LPC-S)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:COX
Suffix:
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18605 STAR GAZER WAY
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-5456
Mailing Address - Country:US
Mailing Address - Phone:512-831-7676
Mailing Address - Fax:
Practice Address - Street 1:203 W MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2789
Practice Address - Country:US
Practice Address - Phone:512-831-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL72423101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional