Basic Information
| Provider Information | |||||||||
| NPI: | 1982616421 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COGGINS | ||||||||
| FirstName: | CINDY | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 790 ROBERTS DR | ||||||||
| Address2: | |||||||||
| City: | MONTICELLO | ||||||||
| State: | AR | ||||||||
| PostalCode: | 716555723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8703672461 | ||||||||
| FaxNumber: | 8704606133 | ||||||||
| Practice Location | |||||||||
| Address1: | 2410 HIGHWAY 65 N | ||||||||
| Address2: | |||||||||
| City: | MC GEHEE | ||||||||
| State: | AR | ||||||||
| PostalCode: | 716549437 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8702223107 | ||||||||
| FaxNumber: | 8702226741 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2006 | ||||||||
| LastUpdateDate: | 10/07/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | P1303020 | AR | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.