Healthcare Provider Details

I. General information

NPI: 1679484992
Provider Name (Legal Business Name): KATHY FOX LMFT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CIRCLE DR STE 12
NORTH LIBERTY IA
52317-8818
US

IV. Provider business mailing address

10 CIRCLE DR STE 12
NORTH LIBERTY IA
52317-8818
US

V. Phone/Fax

Practice location:
  • Phone: 319-505-8225
  • Fax:
Mailing address:
  • Phone: 319-505-8225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHY JEANNE FOX
Title or Position: THERAPIST
Credential: LMFT
Phone: 319-505-8225