Provider Demographics
NPI:1770242067
Name:COLEMAN, KALONDA (MS)
Entity Type:Individual
Prefix:MRS
First Name:KALONDA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:KALONDA
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3001 12TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-4161
Mailing Address - Country:US
Mailing Address - Phone:256-261-3160
Mailing Address - Fax:
Practice Address - Street 1:3001 12TH AVE SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4161
Practice Address - Country:US
Practice Address - Phone:256-261-3160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-14
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional