Provider Demographics
NPI:1669621900
Name:COALE, ERIN E (MS, LMHC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:E
Last Name:COALE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 296
Mailing Address - Street 2:
Mailing Address - City:MONTAGUE
Mailing Address - State:MA
Mailing Address - Zip Code:01351-0296
Mailing Address - Country:US
Mailing Address - Phone:413-345-0208
Mailing Address - Fax:
Practice Address - Street 1:1 E PLEASANT ST
Practice Address - Street 2:SUITE 47
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1524
Practice Address - Country:US
Practice Address - Phone:413-345-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7076101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA7076OtherLMHC LICENSE NUMBER