Shatto Breonlee Coleman Sr, LPC-A is a
Counselor - Mental Health based in Kerens, Texas. Shatto Breonlee Coleman Sr is licensed to practice in Texas (license number 92165) and his current practice location is
315 N Throckmorton Ave, Kerens, Texas. He can be reached at his office (for appointments etc.) via phone at
(972) 822-7129.
NPI number for Shatto Breonlee Coleman Sr is 1699559997 and his current mailing address is Po Box 451741, Garland, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699559997.
Healthcare Provider's Profile
Full Name | Shatto Breonlee Coleman Sr |
---|
Gender | Male |
---|
Speciality | Counselor - Mental Health |
---|
Location | 315 N Throckmorton Ave, Kerens, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699559997
- Provider Enumeration Date: 08/21/2023
- Last Update Date: 08/21/2023
Medical Identifiers
Medical identifiers for Shatto Breonlee Coleman Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699559997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 92165 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shatto Breonlee Coleman Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shatto Breonlee Coleman Sr, LPC-A Po Box 451741, Garland, TX 75045-1741 Ph: (972) 822-7129 | Shatto Breonlee Coleman Sr, LPC-A 315 N Throckmorton Ave, Kerens, TX 75144-2540 Ph: (972) 822-7129 |
Reviews and Comments