Provider Demographics
NPI:1538369301
Name:COX, LEMICA SYMIRIA (LMSW)
Entity type:Individual
Prefix:
First Name:LEMICA
Middle Name:SYMIRIA
Last Name:COX
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:LEMICA
Other - Middle Name:SYMIRIA
Other - Last Name:HARPER-COX
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:2051 W GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48208-1105
Mailing Address - Country:US
Mailing Address - Phone:313-961-3784
Mailing Address - Fax:313-961-3769
Practice Address - Street 1:2051 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48208-1105
Practice Address - Country:US
Practice Address - Phone:313-961-3784
Practice Address - Fax:313-961-3769
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2019-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010878961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801087896OtherSOCIAL WORKER