Provider Demographics
NPI:1386913192
Name:COX, TONY ALLEN (MA, MCC)
Entity type:Individual
Prefix:
First Name:TONY
Middle Name:ALLEN
Last Name:COX
Suffix:
Gender:M
Credentials:MA, MCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 CARDINAL LN
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37743-6121
Mailing Address - Country:US
Mailing Address - Phone:865-206-5395
Mailing Address - Fax:
Practice Address - Street 1:303 CARDINAL LN
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37743-6121
Practice Address - Country:US
Practice Address - Phone:865-206-5395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)