Provider Demographics
NPI:1376034868
Name:COFIELD, PAULETTE TRACEY (LMSW)
Entity Type:Individual
Prefix:
First Name:PAULETTE
Middle Name:TRACEY
Last Name:COFIELD
Suffix:
Gender:F
Credentials:LMSW
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 7547
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77508-7547
Mailing Address - Country:US
Mailing Address - Phone:832-421-1718
Mailing Address - Fax:
Practice Address - Street 1:917 KIRBY RD
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-4400
Practice Address - Country:US
Practice Address - Phone:832-472-1167
Practice Address - Fax:281-315-3848
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36978104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker