Provider Demographics
NPI:1588995385
Name:COX, RONNIE R (LPC-MHSP)
Entity type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:R
Last Name:COX
Suffix:
Gender:M
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-4773
Mailing Address - Country:US
Mailing Address - Phone:931-337-0166
Mailing Address - Fax:931-484-7378
Practice Address - Street 1:62 WEST AVE
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4773
Practice Address - Country:US
Practice Address - Phone:931-337-0166
Practice Address - Fax:931-484-7378
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2544103K00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health