Provider Demographics
NPI:1639313828
Name:COX, SOPHIA C (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:SOPHIA
Middle Name:C
Last Name:COX
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:SOPHIA
Other - Middle Name:C
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:741 E. 57TH
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:443-388-9133
Mailing Address - Fax:
Practice Address - Street 1:9006 LIBERTY RD STE 2
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-3931
Practice Address - Country:US
Practice Address - Phone:410-496-5444
Practice Address - Fax:443-303-4320
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional