| Coates & Doran, Pllc | |
|
1812 Marian Ave Carson City NV 89706-2632 | |
| (775) 450-7414 | |
| Not Available |
| Full Name | Coates & Doran, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1812 Marian Ave, Carson City, Nevada |
| Authorized Official Name and Position | Bodie Ward Coates (OWNER) |
| Authorized Official Contact | 7754507414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coates & Doran, Pllc 2602 Blue Haven Ln Carson City NV 89701-4850 Ph: (775) 450-7414 | Coates & Doran, Pllc 1812 Marian Ave Carson City NV 89706-2632 Ph: (775) 450-7414 |
| NPI Number | 1104437946 |
|---|---|
| Provider Enumeration Date | 08/14/2020 |
| Last Update Date | 08/14/2020 |
| Certification Date | 08/14/2020 |
| Medicare PECOS PAC ID | 8628417250 |
|---|---|
| Medicare Enrollment ID | O20240416002257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104437946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| Provider Name | Bodie Ward Coates |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1740524503 PECOS PAC ID: 5991144529 Enrollment ID: I20240423000734 |
| Provider Name | Andrea Maria Doran |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609262732 PECOS PAC ID: 7618316241 Enrollment ID: I20240423000912 |
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