Provider Demographics
NPI:1750654091
Name:COFFEY, ALISON BROOKE (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:BROOKE
Last Name:COFFEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 NORMANDY DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-2931
Mailing Address - Country:US
Mailing Address - Phone:319-855-0438
Mailing Address - Fax:
Practice Address - Street 1:410 IOWA AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1806
Practice Address - Country:US
Practice Address - Phone:319-338-7518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001485101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health