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CYNTHIA COLEMAN JOB COACHING SERVICE NPI 1669058996


NPI Information

NPI: 1669058996
Provider Name: CYNTHIA COLEMAN JOB COACHING SERVICE
Classification: Respite Care - 385HR2055X
Entity Type: Organization

Specialization: Respite Care, Mental Illness, Child

Address:
1201 PERA DR
MEMPHIS, TN
ZIP 38127
Phone: (901) 653-0255
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CYNTHIA COLEMAN JOB COACHING SERVICE is a respite care and mental illness and child respite care in Memphis, TN. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. CYNTHIA COLEMAN JOB COACHING SERVICE NPI is 1669058996. The provider is registered as an organization entity type.

The provider's business location address is:

1201 PERA DR
MEMPHIS, TN
ZIP 38127-217
Phone: (901) 653-0255
Fax: (901) 653-0255

The provider's authorized official is Cynthia Coleman .
The authorized official title is President Of Cynthia Coleman Job Co and has the following contact phone number (901) 653-0255.

The enumeration date for this NPI number is 3/18/2021 and was last updated on 3/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385HR2055XRespite CareRespite Care, Mental Illness, ChildYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
182-4160739OTHERTENNESSEEIDD WAIVER
2824160739OTHERTENNESSEEIDD WAIVER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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