Provider Demographics
NPI:1487203717
Name:COX, SOPHIE VICTORIA (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:SOPHIE
Middle Name:VICTORIA
Last Name:COX
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5029
Mailing Address - Country:US
Mailing Address - Phone:203-409-2615
Mailing Address - Fax:
Practice Address - Street 1:98 EAST AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5029
Practice Address - Country:US
Practice Address - Phone:203-409-2615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3330101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional