Provider Demographics
NPI:1609298694
Name:COLEMAN & ASSOCIATES
Entity Type:Organization
Organization Name:COLEMAN & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-744-7076
Mailing Address - Street 1:6630 BALTIMORE NATIONAL PIKE # S205B
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3920
Mailing Address - Country:US
Mailing Address - Phone:410-744-7076
Mailing Address - Fax:410-744-9563
Practice Address - Street 1:6630 BALTIMORE NATIONAL PIKE # S205B
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3920
Practice Address - Country:US
Practice Address - Phone:410-744-7076
Practice Address - Fax:410-744-9563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD097321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty