Healthcare Provider Details

I. General information

NPI: 1033056684
Provider Name (Legal Business Name): COYOTE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 W LANCASTER AVE STE 255
DEVON PA
19333-1592
US

IV. Provider business mailing address

301 CRUM CREEK LN
NEWTOWN SQUARE PA
19073-1603
US

V. Phone/Fax

Practice location:
  • Phone: 610-304-6507
  • Fax:
Mailing address:
  • Phone: 610-304-6507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHARINE G KEITH
Title or Position: OWNER/ THERAPIST
Credential: LCSW
Phone: 610-304-6507