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Organization

COATC LLC

Active
Parent organization
COATC, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
COATC, LLC
Authorized official
LEEANNE CROWSON (OWNER)
(501) 904-8711
Entity
Organization

Contact information

Practice address
1807 E LAWSON RD, LITTLE ROCK, AR 72210-5012
(501) 904-8711
(844) 270-4888
Mailing address
1807 E LAWSON RD, LITTLE ROCK, AR 72210-5012
(501) 904-8711
(844) 270-4888

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1041C0700X
Clinical Social Worker
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
2084P0802X
Addiction Psychiatry Physician
Primary

Other

Enumeration date
05/09/2020
Last updated
05/09/2020
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