Provider Demographics
NPI:1649520594
Name:COX, LAKAWTHRA MONIQUE (MA, MAPC, LPC)
Entity type:Individual
Prefix:MS
First Name:LAKAWTHRA
Middle Name:MONIQUE
Last Name:COX
Suffix:
Gender:F
Credentials:MA, MAPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 NW MARION AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507-1319
Mailing Address - Country:US
Mailing Address - Phone:580-695-1102
Mailing Address - Fax:
Practice Address - Street 1:2710 NW MARION AVE
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-1319
Practice Address - Country:US
Practice Address - Phone:580-695-1102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5558101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health