Provider Demographics
NPI:1063864866
Name:COATES, ANDREA (MS, LPCC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:COATES
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 KNOLES AVE
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-3464
Mailing Address - Country:US
Mailing Address - Phone:740-773-1024
Mailing Address - Fax:
Practice Address - Street 1:114 RENICK AVE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2879
Practice Address - Country:US
Practice Address - Phone:740-851-4461
Practice Address - Fax:740-851-4157
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1300285101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health