Provider Demographics
NPI:1093887515
Name:COATS, VALLERY (LPC)
Entity Type:Individual
Prefix:DR
First Name:VALLERY
Middle Name:
Last Name:COATS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2382
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-2382
Mailing Address - Country:US
Mailing Address - Phone:480-980-6308
Mailing Address - Fax:480-488-1904
Practice Address - Street 1:36800 N SIDEWINDER RD
Practice Address - Street 2:SUITE C23
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377-2382
Practice Address - Country:US
Practice Address - Phone:480-980-6308
Practice Address - Fax:480-488-1904
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC1583101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLPC1583OtherTHERAPIST