Provider Demographics
NPI:1144256397
Name:COYLE, BETHANY LYNN (LPCC)
Entity type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:LYNN
Last Name:COYLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7530 E MAIN ST APT 201
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4574
Mailing Address - Country:US
Mailing Address - Phone:480-800-9303
Mailing Address - Fax:480-800-6606
Practice Address - Street 1:7530 E MAIN ST APT 201
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-4574
Practice Address - Country:US
Practice Address - Phone:480-800-9303
Practice Address - Fax:480-800-6606
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2865101Y00000X
AZ21120101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor