MEDICARE: CYNTHIA KAYE TATUM COX LMFT

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	106H00000X	Marriage & Family Therapist	204548	TX
2	106H00000X	Marriage & Family Therapist	IMF81876	CA
3	106H00000X	Marriage & Family Therapist	11589	CA
4	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1992178669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA KAYE TATUM COX LMFT

Provider Business Mailing Address
First Line	:	6606 CRESTRIDGE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77033-1823
Country	:	US
Telephone Number	:	832-997-1655
Fax Number	:

Provider Business Practice Location Address
First Line	:	6606 CRESTRIDGE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77033-1823
Country	:	US
Telephone Number	:	832-997-1655
Fax Number	:

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

Provider Enumeration Date	:	11/03/2015
Last Update Date	:	11/18/2025

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