Coleman Professional Services, Inc.

NPI #1982637633 in Kent, Ohio

Provider Information

NPI Number: 1982637633
Entity Type: Organization
Organization Name: Coleman Professional Services, Inc.
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 8, 2006
Last Updated: Nov 1, 2007

Practice Location

Address: 5982 RHODES RD
City: Kent
State: Ohio
ZIP Code: 44240-4128
Phone: (330) 673-1347

Authorized Official

Name: MRS. DIANA KEATHLEY
Title: CREDENTIALING SPECIALIST
Phone: (330) 676-6826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Counseling — Counseling	103TC1900X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry	2084P0804X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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