Healthcare Provider Details

I. General information

NPI: 1003784372
Provider Name (Legal Business Name): ERIN COX BA, CADC, LCDP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 WATERMAN AVE
EAST PROVIDENCE RI
02914-1729
US

IV. Provider business mailing address

12 RESERVOIR AVE
WARREN RI
02885-1807
US

V. Phone/Fax

Practice location:
  • Phone: 401-434-4999
  • Fax:
Mailing address:
  • Phone: 401-396-6177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP01069
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: