Provider Demographics
NPI:1245325679
Name:COATES, DENISE RENEE (LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:RENEE
Last Name:COATES
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 PULTE RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3314
Mailing Address - Country:US
Mailing Address - Phone:717-397-1400
Mailing Address - Fax:717-556-0149
Practice Address - Street 1:219 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-1753
Practice Address - Country:US
Practice Address - Phone:717-397-1400
Practice Address - Fax:717-556-0149
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC00034101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC000034OtherLICENSED PROFESSIONAL COU