Provider Demographics
NPI:1902121270
Name:COAKLEY, LORIN (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:LORIN
Middle Name:
Last Name:COAKLEY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9633 MIRANDA DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7665
Mailing Address - Country:US
Mailing Address - Phone:919-274-1919
Mailing Address - Fax:
Practice Address - Street 1:9633 MIRANDA DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-7665
Practice Address - Country:US
Practice Address - Phone:919-274-1919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7838101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional