Provider Demographics
NPI:1700559044
Name:COLEMAN, KELSEY (MS, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7947 PLAYERS FOREST DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-9114
Mailing Address - Country:US
Mailing Address - Phone:901-756-5788
Mailing Address - Fax:
Practice Address - Street 1:7947 PLAYERS FOREST DR STE 103
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-9114
Practice Address - Country:US
Practice Address - Phone:901-756-5788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health