Provider Demographics
NPI:1205472008
Name:LISA M. COATE, LCSW, LLC
Entity type:Organization
Organization Name:LISA M. COATE, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:COATE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-272-6390
Mailing Address - Street 1:1302 24TH ST W PMB 110
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3861
Mailing Address - Country:US
Mailing Address - Phone:406-272-6390
Mailing Address - Fax:
Practice Address - Street 1:1643 LEWIS AVE
Practice Address - Street 2:STE 3 # 5
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4151
Practice Address - Country:US
Practice Address - Phone:406-272-6390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-27
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty