Provider Demographics
NPI:1093204067
Name:COATES, DARLYNN JOANN (MACMHC, LPC/I)
Entity Type:Individual
Prefix:MRS
First Name:DARLYNN
Middle Name:JOANN
Last Name:COATES
Suffix:
Gender:F
Credentials:MACMHC, LPC/I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 HUNTING INC RD
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29020-9611
Mailing Address - Country:US
Mailing Address - Phone:843-260-0456
Mailing Address - Fax:
Practice Address - Street 1:2143 HOFFMEYER RD STE B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4078
Practice Address - Country:US
Practice Address - Phone:843-799-4299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-05
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6841101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional