Provider Demographics
NPI:1497967764
Name:COLEMAN, SERRITA LOREN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:SERRITA
Middle Name:LOREN
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13511 ASHTON HILLS CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8010
Mailing Address - Country:US
Mailing Address - Phone:281-373-1471
Mailing Address - Fax:281-373-1471
Practice Address - Street 1:13511 ASHTON HILLS CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-8010
Practice Address - Country:US
Practice Address - Phone:281-373-1471
Practice Address - Fax:281-373-1471
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional