Provider Demographics
NPI:1366732216
Name:COATES, LINDSEY HALE (LPC)
Entity type:Individual
Prefix:MS
First Name:LINDSEY
Middle Name:HALE
Last Name:COATES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:HALE
Other - Last Name:NORED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:6117 NE 9TH AVE APT B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-3764
Mailing Address - Country:US
Mailing Address - Phone:970-819-5177
Mailing Address - Fax:
Practice Address - Street 1:6117 NE 9TH AVE APT B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-3764
Practice Address - Country:US
Practice Address - Phone:970-819-5177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7809866-6009101YP2500X
ORC3444101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional