MEDICARE: DR. ADAM DANIEL COFFEY PH.D.

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	13939	TX
2	106H00000X	Marriage & Family Therapist	5001	TX

General Provider Information

NPI Number	:	1467581793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM DANIEL COFFEY PH.D.

Provider Business Mailing Address
First Line	:	3625 N HALL ST
Second Line	:	SUITE 900
City	:	DALLAS
State	:	TX
Zip	:	75219-5114
Country	:	US
Telephone Number	:	214-535-6369
Fax Number	:	817-483-1198

Provider Business Practice Location Address
First Line	:	3625 N HALL ST
Second Line	:	SUITE 900
City	:	DALLAS
State	:	TX
Zip	:	75219-5114
Country	:	US
Telephone Number	:	214-535-6369
Fax Number	:	817-483-1198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2007
Last Update Date	:	09/11/2025

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