Provider Demographics
NPI:1932122546
Name:COLEMAN, SARAH JENNIFER (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JENNIFER
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JENNIFER
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2475 15TH ST NW STE D
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-5606
Mailing Address - Country:US
Mailing Address - Phone:612-964-4330
Mailing Address - Fax:
Practice Address - Street 1:2475 15TH ST NW STE D
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-5606
Practice Address - Country:US
Practice Address - Phone:763-703-3754
Practice Address - Fax:763-703-3725
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1504106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist