Provider Demographics
NPI:1528395829
Name:COLEMAN, JOANN LOUISE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:LOUISE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6692 CROSS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-2814
Mailing Address - Country:US
Mailing Address - Phone:586-549-5662
Mailing Address - Fax:
Practice Address - Street 1:6692 CROSS CREEK DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48094-2814
Practice Address - Country:US
Practice Address - Phone:586-549-5662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010214061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical