Provider Demographics
NPI:1871003749
Name:COLEMAN, ANGELINA SABRINA ANN (BA)
Entity Type:Individual
Prefix:MRS
First Name:ANGELINA
Middle Name:SABRINA ANN
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:ANGELINA
Other - Middle Name:SABRINA ANN
Other - Last Name:SALINAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:221 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70364-3021
Mailing Address - Country:US
Mailing Address - Phone:985-647-6438
Mailing Address - Fax:
Practice Address - Street 1:221 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70364-3021
Practice Address - Country:US
Practice Address - Phone:985-647-6438
Practice Address - Fax:985-647-6438
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health