Provider Demographics
NPI:1750055471
Name:COX THERAPEUTIC SERVICES, PLLC
Entity Type:Organization
Organization Name:COX THERAPEUTIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, MS, LCAS, LCMHC
Authorized Official - Phone:252-258-0822
Mailing Address - Street 1:PO BOX 3126
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27836-1126
Mailing Address - Country:US
Mailing Address - Phone:252-258-0822
Mailing Address - Fax:844-927-1727
Practice Address - Street 1:806 E 10TH ST STE 3126
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-3502
Practice Address - Country:US
Practice Address - Phone:252-258-0822
Practice Address - Fax:844-927-1721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty