Lavern L Coleman
Counselor, Mental Health in Rolling Fork, MS. Individual provider (NPI-1).
NPI number1104789239
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1104789239
- Entity type
- Individual (NPI-1)
- Name
- Lavern L Coleman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2025
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CMHT | MS | Yes |
Practice location
317 W Race StRolling Fork, MS 39159-2623
Phone 662-873-6228 · Fax 662-873-2244
Mailing address
2504 Browning Road 520Greenwood, MS 38930-6022
Phone 662-451-6211 · Fax 662-455-8724
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