Provider Demographics
NPI:1073913190
Name:COLEMAN COUNSELING, INC.
Entity Type:Organization
Organization Name:COLEMAN COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-368-0150
Mailing Address - Street 1:321 NW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:EAGLE GROVE
Mailing Address - State:IA
Mailing Address - Zip Code:50533-1308
Mailing Address - Country:US
Mailing Address - Phone:515-368-0150
Mailing Address - Fax:515-448-9008
Practice Address - Street 1:321 NW 3RD ST
Practice Address - Street 2:
Practice Address - City:EAGLE GROVE
Practice Address - State:IA
Practice Address - Zip Code:50533-1308
Practice Address - Country:US
Practice Address - Phone:515-368-0150
Practice Address - Fax:515-448-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health