1. Home
  2. Directory
  3. Georgia
  4. Canton
  5. Counselor
  6. NPI Profile

MS. M KATHERINE COOLIDGE LCSW
NPI 1013055094
Counselor - Professional in Canton, GA

Active since February 02, 2007
1213 CHERRY LN, CANTON, GA 30114(678) 494-6690(678) 494-9622 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. M Katherine Coolidge Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. M KATHERINE COOLIDGE LCSW (NPI 1013055094) is an individual professional provider in Canton, Georgia, licensed in Georgia (CSW001574) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1013055094
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. M KATHERINE COOLIDGECredential: LCSW
Location Address1213 CHERRY LNCanton, GA 30114-6812
Mailing Address1213 Cherry LnCanton, GA 30114-6812 · (678) 494-6690 · Fax (678) 494-9622
Phone(678) 494-6690
Fax(678) 494-9622
Sole ProprietorYes
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013055094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · CSW001574
1213 CHERRY LN, Canton, GA 30114
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified80BBFNGGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M Coolidge's NPI number?

The NPI number for M Coolidge is 1013055094. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is M Coolidge located?

M Coolidge practices at 1213 Cherry Ln, Canton, GA 30114. The listed phone number is (678) 494-6690.

What is M Coolidge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for M Coolidge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.