Provider Demographics
NPI:1760034250
Name:COX, BEN ALLEN II (LADC-MH CANDIDATE)
Entity type:Individual
Prefix:MR
First Name:BEN
Middle Name:ALLEN
Last Name:COX
Suffix:II
Gender:M
Credentials:LADC-MH CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E FORSTER LN
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-4031
Mailing Address - Country:US
Mailing Address - Phone:405-314-8802
Mailing Address - Fax:405-314-8802
Practice Address - Street 1:121 E FORSTER LN
Practice Address - Street 2:
Practice Address - City:MUSTANG
Practice Address - State:OK
Practice Address - Zip Code:73064-4031
Practice Address - Country:US
Practice Address - Phone:405-314-8802
Practice Address - Fax:405-314-8802
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator