Provider Demographics
NPI:1578016747
Name:COLEMAN, TWANDA
Entity Type:Individual
Prefix:
First Name:TWANDA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18100 WEST RD
Mailing Address - Street 2:#407
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3768
Mailing Address - Country:US
Mailing Address - Phone:832-618-6188
Mailing Address - Fax:
Practice Address - Street 1:18100 WEST RD
Practice Address - Street 2:#407
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3768
Practice Address - Country:US
Practice Address - Phone:832-618-6188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency