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General NPI Number Information
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NPI Number | 1649751496
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Entity Type | Individual
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Provider Name | CODY MARK COX CMHC
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Gender | Male
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 851 N MAIN ST
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City | LOGAN
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State | UT
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Zip | 84321-3228
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Country | US
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Telephone | 435-215-1775
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Fax |
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Provider Business Mailing Address
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Address Line | 97 N MAIN ST
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City | PROVIDENCE
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State | UT
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Zip | 84332-9601
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Country | US
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Telephone | 435-215-1775
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | UT
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