Shatto Breonlee Coleman Sr, LPC | |
315 N Throckmorton Ave, Kerens, TX 75144-2540 | |
(972) 822-7129 | |
Not Available |
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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699559997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 92165 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shatto Breonlee Coleman Sr, LPC Po Box 451741, Garland, TX 75045-1741 Ph: (972) 822-7129 | Shatto Breonlee Coleman Sr, LPC 315 N Throckmorton Ave, Kerens, TX 75144-2540 Ph: (972) 822-7129 |
Deena Rae Davis, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2665 Fm 636, Kerens, TX 75144 Phone: 903-396-2627 | |
Carolyn Ruth Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 654 Fm 633, Kerens, TX 75144 Phone: 832-561-7166 |