Provider Demographics
NPI:1801226683
Name:COX, AMY MARIE (LLMSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:COX
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:SCHENDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBSW
Mailing Address - Street 1:216 MUNSON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-3099
Mailing Address - Country:US
Mailing Address - Phone:231-714-0246
Mailing Address - Fax:
Practice Address - Street 1:216 MUNSON AVE STE A
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3099
Practice Address - Country:US
Practice Address - Phone:231-714-0246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MI6802080351104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)