Provider Demographics
NPI:1538049713
Name:FOXX, KATHY
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:FOXX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 N DAVIDSON ST STE D
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-3104
Mailing Address - Country:US
Mailing Address - Phone:704-621-9545
Mailing Address - Fax:704-335-6106
Practice Address - Street 1:624 N DAVIDSON ST STE D
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28202-3104
Practice Address - Country:US
Practice Address - Phone:704-621-9545
Practice Address - Fax:704-335-6106
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-06
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)