=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306647474
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MS. ANNE MARIE COX
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/24/2025
-----------------------------------------------------
Last Update Date | 11/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 160 LOOMIS ST
-----------------------------------------------------
City | NORTH GRANBY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06060-1203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-222-9084
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 160 LOOMIS ST
-----------------------------------------------------
City | NORTH GRANBY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06060-1203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-222-9084
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 007922
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------