Provider Demographics
NPI:1295289213
Name:COLEMAN, ELIZABETH (MA, LMHCA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHCA
Mailing Address - Street 1:4120 STONE WAY N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8014
Mailing Address - Country:US
Mailing Address - Phone:206-461-3707
Mailing Address - Fax:
Practice Address - Street 1:4120 STONE WAY N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8014
Practice Address - Country:US
Practice Address - Phone:206-461-3707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60582810101Y00000X
WALH61059356101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor