Provider Demographics
NPI:1467067785
Name:KNOX COUNSELING AND CONSULTING, PC
Entity type:Organization
Organization Name:KNOX COUNSELING AND CONSULTING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABBEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC, LCMHC, LPC
Authorized Official - Phone:813-928-0952
Mailing Address - Street 1:108 EDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-8650
Mailing Address - Country:US
Mailing Address - Phone:813-928-0952
Mailing Address - Fax:
Practice Address - Street 1:513 NEW BRIDGE ST-SUITE 500
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540
Practice Address - Country:US
Practice Address - Phone:813-928-0952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13994OtherNORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
VA0701008935OtherCOMMONWEALTH OF VIRGINIA BOARD OF COUNSELING DEPT OF HEALTH PROFESSIONS
FLMH4343OtherFLORIDA DEPT OF HEALTH