Provider Demographics
NPI:1669983599
Name:COLEMAN, BARBARA CAROL (LPC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:CAROL
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 W CONCHO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-3841
Mailing Address - Country:US
Mailing Address - Phone:971-227-4424
Mailing Address - Fax:
Practice Address - Street 1:2141 OFFICE PARK DR STE 7
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-6836
Practice Address - Country:US
Practice Address - Phone:325-223-2347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72904101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health