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NPI Code Detail

MEDICARE: MR. JAMES DANIEL COLEY JR. MS, LPC

MEDICARE:  MR. JAMES DANIEL COLEY JR. MS, LPC
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 Counselor85042TX
2101YP1600XPastoral Counselor85042TX
3101YM0800XMental Health Counselor11046-125WI
4101Y00000XCounselor85042TX

General Provider Information

NPI Number : 1881366516
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES DANIEL COLEY JR. MS, LPC
Provider Business Mailing Address
First Line : 522 WINDROW DR
Second Line :
City : JOSEPHINE
State : TX
Zip : 75189-3844
Country : US
Telephone Number : 469-855-4834
Fax Number :
Provider Business Practice Location Address
First Line : 14290 GILLIS RD STE A
Second Line :
City : FARMERS BRANCH
State : TX
Zip : 75244-3724
Country : US
Telephone Number : 469-333-0153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 12/12/2025

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Directions to “ MR. JAMES DANIEL COLEY JR. MS, LPC” Practice Location

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