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
1	101YP2500X	Professional Counselor	0701001421	VA
2	106H00000X	Marriage & Family Therapist	MFT158	TN
3	101YM0800X	Mental Health Counselor	MH16746	FL
4	106H00000X	Marriage & Family Therapist	MFT 158	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LPC0701001421	OTHER	VA	BEHAVIORAL PAIN MANAGEMENT
2	LPC321	OTHER	TN	BEHAVIOR PAIN MANAGEMENT
3	MFT53	OTHER	TN	BEHAVIORAL PAIN MANAGEMENT
4	MH16746	OTHER	FL	BEHAVIORAL 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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