Provider Demographics
NPI:1780358267
Name:LUDWIG-COE, DENISE LOIS (MH9350)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:LOIS
Last Name:LUDWIG-COE
Suffix:
Gender:F
Credentials:MH9350
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 HIAWASSEE BENT CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-8358
Mailing Address - Country:US
Mailing Address - Phone:407-810-3018
Mailing Address - Fax:
Practice Address - Street 1:7108 HIAWASSEE BENT CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-8358
Practice Address - Country:US
Practice Address - Phone:407-810-3018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health