Provider Demographics
NPI:1063787729
Name:COX, LASHONE MARIE (MSW, LMSW, CAADC)
Entity type:Individual
Prefix:MISS
First Name:LASHONE
Middle Name:MARIE
Last Name:COX
Suffix:
Gender:F
Credentials:MSW, LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 S TELEGRAPH RD STE 250
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0909
Mailing Address - Country:US
Mailing Address - Phone:248-322-0001
Mailing Address - Fax:
Practice Address - Street 1:2550 S TELEGRAPH RD STE 250
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0909
Practice Address - Country:US
Practice Address - Phone:248-322-0001
Practice Address - Fax:248-322-0001
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2022-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI324500000X-390200000X
MI68010949521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program