| Doctor Name: | MOLLY BOWMAN COATES |
| NPI Number: | 1316228109 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | PY9035 |
| Business Practice Address: | 1454 Madison Ave W Immokalee, FL - 341422200 |
| Business Phone Number: | 2396583000 |
| Business Fax Number: | 2396583199 |
| Mailing Address: | 1454 Madison Ave W, IMMOKALEE |
| State: | FL |
| Postal Code: | 341422200 |
| Phone Number: | 2396583000 |
| Fax Number: | 2396583199 |
| NPI Enumeration Date: | 09/07/2011 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PY9035 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |