Coleman Professional Services
Community/Behavioral Health in Warren, OH. Organization (NPI-2).
NPI number1245307966
StatusActive
Last updated in NPPESOct 23, 2007
Details
- NPI
- 1245307966
- Entity type
- Organization (NPI-2)
- Legal business name
- Coleman Professional Services
- Organization subpart
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Oct 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 0227 | OH | Yes |
| 101YM0800X | Counselor, Mental Health | 0227 | OH |
Practice location
320 High St NeWarren, OH 44481-1222
Phone 330-393-1175 · Fax 330-394-5910
Mailing address
5982 Rhodes RdKent, OH 44240-4128
Phone 330-673-1347 · Fax 330-678-3677
Authorized official
Diana D. Keathley
Credentialing Specialist
3306766826
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