Provider Demographics
NPI:1932227303
Name:COX, LAURIE ANN (LCPC, LMT, CADC)
Entity Type:Individual
Prefix:MISS
First Name:LAURIE
Middle Name:ANN
Last Name:COX
Suffix:
Gender:F
Credentials:LCPC, LMT, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 COMSTOCK DR
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-3811
Mailing Address - Country:US
Mailing Address - Phone:630-797-6408
Mailing Address - Fax:
Practice Address - Street 1:110 E COUNTRYSIDE PKWY STE C
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560
Practice Address - Country:US
Practice Address - Phone:630-553-1600
Practice Address - Fax:630-553-7993
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180 004297101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL05732026OtherBLUE CROSS BLUE SHIELD IL