Provider Demographics
NPI:1134975881
Name:BEHAVIORAL PAIN SPECIALISTS LLC
Entity type:Organization
Organization Name:BEHAVIORAL PAIN SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COATES
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, LPC,LMFT LMHC
Authorized Official - Phone:813-508-1859
Mailing Address - Street 1:3005 W EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8954
Mailing Address - Country:US
Mailing Address - Phone:813-508-1859
Mailing Address - Fax:888-850-1859
Practice Address - Street 1:3005 W EUCLID AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8954
Practice Address - Country:US
Practice Address - Phone:813-508-1859
Practice Address - Fax:888-850-1859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty