Provider Demographics
NPI:1750741039
Name:COX, ALICIA KAROL (LPC)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:KAROL
Last Name:COX
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1274 BOTTOMS EAST RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:TX
Mailing Address - Zip Code:76579-3003
Mailing Address - Country:US
Mailing Address - Phone:254-718-6475
Mailing Address - Fax:
Practice Address - Street 1:1274 BOTTOMS EAST RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:TX
Practice Address - Zip Code:76579-3003
Practice Address - Country:US
Practice Address - Phone:254-718-6475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12490101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor