Provider Demographics
NPI:1932223229
Name:COETZEE, SVEN ARNOLD (LMHC)
Entity Type:Individual
Prefix:
First Name:SVEN
Middle Name:ARNOLD
Last Name:COETZEE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 SEMINOLE LN
Mailing Address - Street 2:
Mailing Address - City:SOPCHOPPY
Mailing Address - State:FL
Mailing Address - Zip Code:32358-0840
Mailing Address - Country:US
Mailing Address - Phone:850-962-2338
Mailing Address - Fax:
Practice Address - Street 1:345 OFFICE PLZ
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2729
Practice Address - Country:US
Practice Address - Phone:850-222-3508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6185101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health