Provider Demographics
NPI:1508255100
Name:COYNE, DENISE (LCHMC)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:COYNE
Suffix:
Gender:F
Credentials:LCHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 FRIARS LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-1537
Mailing Address - Country:US
Mailing Address - Phone:734-771-5228
Mailing Address - Fax:
Practice Address - Street 1:909 AVIATION PKWY STE 400
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6603
Practice Address - Country:US
Practice Address - Phone:888-510-1352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-20
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010918101YP2500X
NC18327101YM0800X
MO2015026275101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional