Provider Demographics
NPI:1770931248
Name:CROSS, SOPHIE ELIZA (LMHC, ATR)
Entity type:Individual
Prefix:MRS
First Name:SOPHIE
Middle Name:ELIZA
Last Name:CROSS
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:988 BAY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982-1105
Mailing Address - Country:US
Mailing Address - Phone:617-447-5048
Mailing Address - Fax:
Practice Address - Street 1:988 BAY RD
Practice Address - Street 2:
Practice Address - City:SOUTH HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982-1105
Practice Address - Country:US
Practice Address - Phone:617-447-5048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health