Provider Demographics
NPI:1558832311
Name:COKER, SCHANE (MS, FFC, AFC)
Entity Type:Individual
Prefix:
First Name:SCHANE
Middle Name:
Last Name:COKER
Suffix:
Gender:M
Credentials:MS, FFC, AFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6745 MIAMI LAKES DR APT 231
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-8110
Mailing Address - Country:US
Mailing Address - Phone:765-426-9784
Mailing Address - Fax:
Practice Address - Street 1:6745 MIAMI LAKES DR APT 231
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-8110
Practice Address - Country:US
Practice Address - Phone:765-426-9784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor