Provider Demographics
NPI:1588458194
Name:COE, LAUREN ALYSSA (MS ED)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ALYSSA
Last Name:COE
Suffix:
Gender:
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 BAY RIDGE PKWY APT 2E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2311
Mailing Address - Country:US
Mailing Address - Phone:203-767-4369
Mailing Address - Fax:
Practice Address - Street 1:4664 COUNTY HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NY
Practice Address - Zip Code:13856-3389
Practice Address - Country:US
Practice Address - Phone:713-410-5607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health