Provider Demographics
NPI:1194918060
Name:COX, TACY ANN (LBSW)
Entity type:Individual
Prefix:MRS
First Name:TACY
Middle Name:ANN
Last Name:COX
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14406 SAINT PIERRE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6901
Mailing Address - Country:US
Mailing Address - Phone:281-373-4863
Mailing Address - Fax:281-373-4863
Practice Address - Street 1:14406 SAINT PIERRE LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6901
Practice Address - Country:US
Practice Address - Phone:281-373-4863
Practice Address - Fax:281-373-4863
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33311171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator