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NPI Code Detail

MEDICARE: MR. BOBBY LLOYD COATES LMHC, LPC, LMFT

MEDICARE:  MR. BOBBY LLOYD COATES  LMHC, LPC, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701001421VA
2106H00000XMarriage & Family TherapistMFT158TN
3101YM0800XMental Health CounselorMH16746FL
4106H00000XMarriage & Family TherapistMFT 158TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LPC0701001421OTHERVABEHAVIORAL PAIN MANAGEMENT
2LPC321OTHERTNBEHAVIOR PAIN MANAGEMENT
3MFT53OTHERTNBEHAVIORAL PAIN MANAGEMENT
4MH16746OTHERFLBEHAVIORAL PAIN MANAGEMENT

General Provider Information

NPI Number : 1811102601
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BOBBY LLOYD COATES LMHC, LPC, LMFT
Provider Business Mailing Address
First Line : 4520 W OAKELLAR AVE
Second Line :
City : TAMPA
State : FL
Zip : 33611-3114
Country : US
Telephone Number : 813-833-0162
Fax Number : 888-805-1859
Provider Business Practice Location Address
First Line : 3005 W EUCLID AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-8954
Country : US
Telephone Number : 813-508-1859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 03/15/2024

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