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NPI Code Detail

MEDICARE: MICHELLE LEA COYNE LPC-MHSP

MEDICARE: MICHELLE LEA COYNE LPC-MHSP
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
1101YM0800XMental Health CounselorLPC0000003387TN

General Provider Information

NPI Number : 1811584352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LEA COYNE LPC-MHSP
Provider Business Mailing Address
First Line : 8019 OLD CHARLOTTE PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-5403
Country : US
Telephone Number : 615-982-3710
Fax Number :
Provider Business Practice Location Address
First Line : 1301 16TH AVENUE SOUTH; 2ND FLOOR
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-2923
Country : US
Telephone Number : 615-982-3710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2020
Last Update Date : 12/30/2020

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Directions to “ MICHELLE LEA COYNE LPC-MHSP” Practice Location

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