Healthcare Provider Details

I. General information

NPI: 1992618813
Provider Name (Legal Business Name): CHARLEE COX LCPC-C
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 LISBON ST STE 201
LEWISTON ME
04240-7248
US

IV. Provider business mailing address

179 LISBON ST STE 201
LEWISTON ME
04240-7248
US

V. Phone/Fax

Practice location:
  • Phone: 207-241-9332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: