Provider Demographics
NPI:1841657277
Name:CALDWELL-COX, INDIA (DBH MSN N-L BSN RN)
Entity type:Individual
Prefix:
First Name:INDIA
Middle Name:
Last Name:CALDWELL-COX
Suffix:
Gender:F
Credentials:DBH MSN N-L BSN RN
Other - Prefix:
Other - First Name:INDIA
Other - Middle Name:
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DBH, MSN N-L BSN RN
Mailing Address - Street 1:8925 S 40TH LN
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-7818
Mailing Address - Country:US
Mailing Address - Phone:937-361-8999
Mailing Address - Fax:
Practice Address - Street 1:8925 S 40TH LN
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-7818
Practice Address - Country:US
Practice Address - Phone:937-361-8999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No273Y00000XHospital UnitsRehabilitation Unit
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282N00000XHospitalsGeneral Acute Care Hospital
No282NR1301XHospitalsGeneral Acute Care HospitalRural
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service