Provider Demographics
NPI:1427584606
Name:STUART A COLEMAN
Entity Type:Organization
Organization Name:STUART A COLEMAN
Other - Org Name:CHRISTMONT COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MAPC, LPC, MHSP, NCC
Authorized Official - Phone:423-772-0047
Mailing Address - Street 1:618 WATAUGA ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4448
Mailing Address - Country:US
Mailing Address - Phone:423-398-5700
Mailing Address - Fax:
Practice Address - Street 1:618 WATAUGA ST
Practice Address - Street 2:SUITE C
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4448
Practice Address - Country:US
Practice Address - Phone:423-398-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-07
Last Update Date:2017-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3669251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health