Provider Demographics
NPI:1871680892
Name:COX, NILAH JEANNENE (MED LPC)
Entity Type:Individual
Prefix:MS
First Name:NILAH
Middle Name:JEANNENE
Last Name:COX
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 W HARWOOD RD
Mailing Address - Street 2:# D
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054
Mailing Address - Country:US
Mailing Address - Phone:817-424-3987
Mailing Address - Fax:817-424-5806
Practice Address - Street 1:1808 HARWOOD CT
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3190
Practice Address - Country:US
Practice Address - Phone:817-424-3987
Practice Address - Fax:817-424-5806
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13519101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor