Provider Demographics
NPI:1669217428
Name:COX, LISA (CRC, CLCP, LPC-C)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:CRC, CLCP, LPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 722777
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-9109
Mailing Address - Country:US
Mailing Address - Phone:405-476-2576
Mailing Address - Fax:405-561-4032
Practice Address - Street 1:802 NE 19TH ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-6302
Practice Address - Country:US
Practice Address - Phone:405-912-5145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health