Provider Demographics
NPI:1215542899
Name:COLEY, DERNAY TOY (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DERNAY
Middle Name:TOY
Last Name:COLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:DERNAY
Other - Middle Name:TOY
Other - Last Name:COLEY-TORRES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4509 ENSENADA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-9727
Mailing Address - Country:US
Mailing Address - Phone:917-620-6319
Mailing Address - Fax:
Practice Address - Street 1:3115 CENTER POINT DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8433
Practice Address - Country:US
Practice Address - Phone:956-296-1987
Practice Address - Fax:956-630-0074
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX517321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical