Healthcare Provider Details

I. General information

NPI: 1255160370
Provider Name (Legal Business Name): MONIQUE CROPPER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CANAL ST
LAWRENCE MA
01840-1420
US

IV. Provider business mailing address

50 MONMOUTH ST
LAWRENCE MA
01841-1817
US

V. Phone/Fax

Practice location:
  • Phone: 978-701-1664
  • Fax:
Mailing address:
  • Phone: 978-701-1664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC1005469
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: