Provider Demographics
NPI: | 1639392756 |
---|---|
Name: | LENOX, KARI FITZGERALD (PHD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | KARI |
Middle Name: | FITZGERALD |
Last Name: | LENOX |
Suffix: | |
Gender: | F |
Credentials: | PHD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 5318 HIGHGATE DR |
Mailing Address - Street 2: | SUITE 132 |
Mailing Address - City: | DURHAM |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27713-6630 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 919-271-4099 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5318 HIGHGATE DR |
Practice Address - Street 2: | SUITE 132 |
Practice Address - City: | DURHAM |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27713-6630 |
Practice Address - Country: | US |
Practice Address - Phone: | 919-271-4099 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-04-10 |
Last Update Date: | 2013-07-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 3116 | 101Y00000X, 101YM0800X, 101YP2500X, 103T00000X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X, 103TH0100X, 103TM1800X, 103TP2701X, 106H00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family |
No | 103TH0100X | Behavioral Health & Social Service Providers | Psychologist | Health Service |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |