MEDICARE: LETICE COX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	P127741	NY

General Provider Information

NPI Number	:	1710774906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETICE COX

Provider Business Mailing Address
First Line	:	1900 PARK PL APT 1-6
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-6980
Country	:	US
Telephone Number	:	929-471-1683
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 PARK PL APT 1-6
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-6980
Country	:	US
Telephone Number	:	929-471-1683
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2025
Last Update Date	:	04/22/2025

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Directions to “ LETICE COX ” Practice Location

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