Provider Demographics
NPI:1801421003
Name:COLEMAN, CHEYNEY MICHELLE
Entity type:Individual
Prefix:MRS
First Name:CHEYNEY
Middle Name:MICHELLE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 COMPASS DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:GA
Mailing Address - Zip Code:30620-1920
Mailing Address - Country:US
Mailing Address - Phone:404-429-4135
Mailing Address - Fax:
Practice Address - Street 1:965 COMPASS DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:GA
Practice Address - Zip Code:30620-1920
Practice Address - Country:US
Practice Address - Phone:404-429-4135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-08
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician