| Miss Tracy Lenora Coleman, CEO | |
|
10537 S Crater Rd, South Prince George, VA 23805-7333 | |
| (757) 637-8764 | |
| (804) 895-6884 |
| Full Name | Miss Tracy Lenora Coleman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 10537 S Crater Rd, South Prince George, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972940039 | NPI | - | NPPES |
| 1912 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1912 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tracy Lenora Coleman, CEO Po Box 6015, Petersburg, VA 23805-6015 Ph: (757) 637-8764 | Miss Tracy Lenora Coleman, CEO 10537 S Crater Rd, South Prince George, VA 23805-7333 Ph: (757) 637-8764 |
Erika Saunders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Jewel Winns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Brooke M Graves, CSAC-S QMHP-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Brittany Jane Townsend, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10541 S Crater Rd, South Prince George, VA 23805 Phone: 800-805-6989 | |
Mrs. Malissa Ann Quinlan Farnum, CSAC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-223-5141 | |
Vernita Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 Fax: 804-431-5820 | |
Claudia Clarke, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 Fax: 804-431-5820 |