Provider Demographics
NPI:1750143921
Name:COATS, GEORGIA MAE (BS)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:MAE
Last Name:COATS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 S LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-2643
Mailing Address - Country:US
Mailing Address - Phone:281-620-5715
Mailing Address - Fax:
Practice Address - Street 1:322 S LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-2643
Practice Address - Country:US
Practice Address - Phone:281-620-5715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical