COLEMAN PROFESSIONAL SERVICES INC. NPI 1134296213

NPI Information

  • NPI: 1134296213
  • Provider Name: COLEMAN PROFESSIONAL SERVICES, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • CLIA Number: 36D2130762
  • Address: 400 TUSCARAWAS ST W
    SUITE 200
    CANTON, OH
    ZIP 44702
  • Phone: (330) 438-2400

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NPI Details

COLEMAN PROFESSIONAL SERVICES, INC. is a community behavioral health in Canton, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COLEMAN PROFESSIONAL SERVICES, INC. NPI is 1134296213. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 TUSCARAWAS ST W
SUITE 200
CANTON, OH
ZIP 44702-018
Phone: (330) 438-2400
Fax: (330) 438-3003

The provider's authorized official is Diana D. Keathley .
The authorized official title is Credentialing Specialist and has the following contact phone number (330) 676-6875.

The CLIA number assigned to this NPI record is 36D2130762 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 1/5/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health0277OHIONo
2103TC0700XPsychologistClinical0277OHIONo
3103TC1900XPsychologistCounseling0277OHIONo
4104100000XSocial Worker0227OHIONo
51041C0700XSocial WorkerClinical0277OHIONo
62084P0800XPsychiatry & NeurologyPsychiatry0277OHIONo
7251S00000XCommunity/Behavioral Health0227OHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110697MEDICARE UPINOHIO
29205413MEDICARE PINOHIO

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: 11/21/2025

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