Healthcare Provider Details

I. General information

NPI: 1619636255
Provider Name (Legal Business Name): FOX COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 02/06/2024
Certification Date: 02/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 S JACKSON ST STE 507
DENVER CO
80210-3851
US

IV. Provider business mailing address

1776 S JACKSON ST STE 507
DENVER CO
80210-3851
US

V. Phone/Fax

Practice location:
  • Phone: 303-378-8024
  • Fax: 360-935-5179
Mailing address:
  • Phone: 303-378-8024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. S J FOX
Title or Position: OWNER
Credential: PSYD
Phone: 303-378-8024