Provider Demographics
NPI:1497946065
Name:COATES, SARAH R (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:COATES
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 1:144 MARSHVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-9047
Mailing Address - Country:US
Mailing Address - Phone:919-772-1990
Mailing Address - Fax:919-772-1978
Practice Address - Street 1:109 PROFESSIONAL CT
Practice Address - Street 2:SUITE 103
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-8347
Practice Address - Country:US
Practice Address - Phone:919-772-1990
Practice Address - Fax:919-772-1978
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6562101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional