Provider Demographics
NPI:1235012659
Name:COFFIN, GEORGE MICHAEL (MA, BA)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:MICHAEL
Last Name:COFFIN
Suffix:
Gender:M
Credentials:MA, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1611
Mailing Address - Country:US
Mailing Address - Phone:463-241-7380
Mailing Address - Fax:
Practice Address - Street 1:500 E SPRINGHILL DR STE L&M
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-4439
Practice Address - Country:US
Practice Address - Phone:812-221-1078
Practice Address - Fax:812-413-2970
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty