Provider Demographics
NPI:1144801572
Name:RACHEL COLEMAN, LICENSED MARRIAGE AND FAMILY THERAPIST INCORPORATED
Entity Type:Organization
Organization Name:RACHEL COLEMAN, LICENSED MARRIAGE AND FAMILY THERAPIST INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-804-5563
Mailing Address - Street 1:26431 CROWN VALLEY PKWY STE 260
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-7201
Mailing Address - Country:US
Mailing Address - Phone:310-804-5563
Mailing Address - Fax:
Practice Address - Street 1:26431 CROWN VALLEY PKWY STE 260
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-7201
Practice Address - Country:US
Practice Address - Phone:310-804-5563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1932482940OtherINDIVIDUAL NPI