Provider Demographics
NPI:1740762509
Name:FOX COUNSELING AND CONSULTING, PLLC
Entity Type:Organization
Organization Name:FOX COUNSELING AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLEY
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:FRAZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-221-8671
Mailing Address - Street 1:311 W JEFFERSON STREET
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112
Mailing Address - Country:US
Mailing Address - Phone:704-776-8728
Mailing Address - Fax:
Practice Address - Street 1:311 W JEFFERSON STREET
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112
Practice Address - Country:US
Practice Address - Phone:704-776-8728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0053201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty