MEDICARE: STEVEN WILLIAM COX ALC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	ALC04272	AL

General Provider Information

NPI Number	:	1043026388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN WILLIAM COX ALC

Provider Business Mailing Address
First Line	:	23 WATERVIEW CT
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30240-8982
Country	:	US
Telephone Number	:	206-915-9689
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 48TH ST
Second Line	:
City	:	VALLEY
State	:	AL
Zip	:	36854-3616
Country	:	US
Telephone Number	:	470-686-4226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2024
Last Update Date	:	12/10/2024

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