Provider Demographics
NPI:1215455878
Name:COX, ASHLEY J (MA, LPC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:J
Last Name:COX
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:J
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLC
Mailing Address - Street 1:3417 ISLAND ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-8519
Mailing Address - Country:US
Mailing Address - Phone:843-303-1962
Mailing Address - Fax:
Practice Address - Street 1:884 JOHNNIE DODDS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3140
Practice Address - Country:US
Practice Address - Phone:843-303-1962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9258101YM0800X
SC7825101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
88-2051084OtherIRS