Healthcare Provider Details

I. General information

NPI: 1982350831
Provider Name (Legal Business Name): CAYLEN COX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E NEW YORK AVE STE C
DELAND FL
32724-5527
US

IV. Provider business mailing address

1127 CHURCH ST
PIERSON FL
32180-2649
US

V. Phone/Fax

Practice location:
  • Phone: 386-740-7110
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number5550
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: