Individual
LOARY VIOLA COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH COUNSE
Contact information
Practice address
3224 BEE RIDGE RD, SARASOTA, FL 34239-7201
(941) 315-5588
Mailing address
5230 SAN PALERMO DR, BRADENTON, FL 34208-2374
(715) 245-0032
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600
LICENSE
FL
Enumeration date
01/29/2019
Last updated
01/29/2019
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