MEDICARE: DEBORAH S COX LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	18191	TX
2	101YP2500X	Professional Counselor	18191	TX

General Provider Information

NPI Number	:	1710292701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH S COX LPC

Provider Business Mailing Address
First Line	:	604 WILLOW SPRINGS DR
Second Line	:
City	:	HEATH
State	:	TX
Zip	:	75032-5891
Country	:	US
Telephone Number	:	214-755-0648
Fax Number	:	972-772-9756

Provider Business Practice Location Address
First Line	:	310 EAST I 30
Second Line	:	SUITE B112
City	:	GARLAND
State	:	TX
Zip	:	75043-8000
Country	:	US
Telephone Number	:	214-755-0648
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2010
Last Update Date	:	08/13/2010

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Directions to “ DEBORAH S COX LPC” Practice Location

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