Coates, Sally T
Coates, Sally T is an individual health care provider with primary practice located at 301 40Th St , Lubbock TX 79404. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coates, Sally T can be contacted via phone (806) 743-9355.Contact Information
Primary practice address
301 40Th St
Lubbock TX 79404
Phone: (806) 743-9355
Fax: (806) 743-9363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 24340 | Texas |
Profile Details
| NPI number | 1770538829 |
|---|---|
| LBN Legal business name | Coates, Sally T |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Dec 14th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770538829 | NPPES |
| Texas | MEDICAID | 168786501 |
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