Provider Demographics
NPI:1316663446
Name:ZWOLINSKI-COYLE, ARIAH (LPC, CRC)
Entity type:Individual
Prefix:
First Name:ARIAH
Middle Name:
Last Name:ZWOLINSKI-COYLE
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:ARIAH
Other - Middle Name:
Other - Last Name:ZWOLINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-IT, CRC
Mailing Address - Street 1:6809 122ND AVE
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-7335
Mailing Address - Country:US
Mailing Address - Phone:262-652-5522
Mailing Address - Fax:262-652-7228
Practice Address - Street 1:6809 122ND AVE
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-7335
Practice Address - Country:US
Practice Address - Phone:262-652-5522
Practice Address - Fax:262-652-7228
Is Sole Proprietor?:No
Enumeration Date:2022-10-19
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
414260225C00000X
WI10046125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor