Provider Demographics
NPI:1538843339
Name:COX, TABITHA (MA, LPC)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7333 BRITTANY ST APT 104
Mailing Address - Street 2:
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66203-4640
Mailing Address - Country:US
Mailing Address - Phone:913-240-8984
Mailing Address - Fax:
Practice Address - Street 1:7101 COLLEGE BLVD STE 1620
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2825
Practice Address - Country:US
Practice Address - Phone:913-815-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional