Crystal Coakley | Liberty, MO • PECOS Search

Crystal Coakley

Counselor

Behavioral Health & Social Service Providers

110 Westwoods Dr, Liberty, MO 64068-1181

(816) 200-0144 (816) 776-9059

PECOS Enrollment

Based on the most recent information from CMS, provider Crystal Coakley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346020450
Provider Type
Individual
Full Name
Coakley, Crystal
Credential
MA, PLPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/5/2023
Last Updated
10/5/2023

Contact Information

Practice Location

110 Westwoods Dr, Liberty, MO 64068-1181

Unlisted Fax

Mailing Location

26222 Louisa Dr, Excelsior Springs, MO 64024-8196

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2023029374 Missouri