Provider Demographics
NPI:1770471617
Name:COX, ELMER II
Entity type:Individual
Prefix:
First Name:ELMER
Middle Name:
Last Name:COX
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3313 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40391-9524
Mailing Address - Country:US
Mailing Address - Phone:859-953-1006
Mailing Address - Fax:859-545-5294
Practice Address - Street 1:3313 LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40391-9524
Practice Address - Country:US
Practice Address - Phone:859-953-1006
Practice Address - Fax:859-545-5294
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY299133101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)