COLEMAN PROFESSIONAL SERVICES NPI 1730405614

NPI Information

NPI: 1730405614
Provider Name: COLEMAN PROFESSIONAL SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 36D2079743

Address:
20 OLIVE ST
SUITE 405
AKRON, OH
ZIP 44310
Phone: (330) 541-7876
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COLEMAN PROFESSIONAL SERVICES is a mental health counselor in Akron, OH. COLEMAN PROFESSIONAL SERVICES NPI is 1730405614. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20 OLIVE ST
SUITE 405
AKRON, OH
ZIP 44310-165
Phone: (330) 541-7876
Fax: (330) 678-3677

The provider's authorized official is Ben Dabbs .
The authorized official title is Chief Financial Officer and has the following contact phone number (330) 676-6850.

The CLIA number assigned to this NPI record is 36D2079743 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2010 and was last updated on 4/16/2010.

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
1	101YP2500X	Counselor	Professional	0227	OHIO	No
2	103T00000X	Psychologist		0227	OHIO	No
3	103TC1900X	Psychologist	Counseling	0227	OHIO	No
4	104100000X	Social Worker		0227	OHIO	No
5	171M00000X	Case Manager/Care Coordinator		0227	OHIO	No
6	2084P0800X	Psychiatry & Neurology	Psychiatry	0227	OHIO	No
7	101YM0800X	Counselor	Mental Health	0227	OHIO	Yes

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
1	9205411	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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