Provider Demographics
NPI:1245914464
Name:COLEMAN, SONJA LYNN (LLMSW)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:LYNN
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5714 MARJA ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48505-2569
Mailing Address - Country:US
Mailing Address - Phone:810-877-2230
Mailing Address - Fax:
Practice Address - Street 1:515 EAST ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-1946
Practice Address - Country:US
Practice Address - Phone:810-238-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511156891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical