Provider Demographics
NPI:1629766613
Name:PAM COGGINS COUNSELING LLC
Entity Type:Organization
Organization Name:PAM COGGINS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:COGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:207-259-0216
Mailing Address - Street 1:918 N LUBEC RD
Mailing Address - Street 2:
Mailing Address - City:LUBEC
Mailing Address - State:ME
Mailing Address - Zip Code:04652-3239
Mailing Address - Country:US
Mailing Address - Phone:207-259-0216
Mailing Address - Fax:
Practice Address - Street 1:11 MONUMENT ST
Practice Address - Street 2:
Practice Address - City:LUBEC
Practice Address - State:ME
Practice Address - Zip Code:04652-1015
Practice Address - Country:US
Practice Address - Phone:207-259-0216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health