| Coleman Child And Family Services, P.a. | |
|
1907 S 17th St Ste 1 Wilmington NC 28401-6680 | |
| (910) 343-8424 | |
| (910) 343-6989 |
| Full Name | Coleman Child And Family Services, P.a. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1907 S 17th St Ste 1, Wilmington, North Carolina |
| Authorized Official Name and Position | Jennifer King Coleman (PRESIDENT) |
| Authorized Official Contact | 9103438424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Child And Family Services, P.a. 1907 S 17th St Ste 1 Wilmington NC 28401-6680 Ph: (910) 343-8424 | Coleman Child And Family Services, P.a. 1907 S 17th St Ste 1 Wilmington NC 28401-6680 Ph: (910) 343-8424 |
| NPI Number | 1033390588 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 4789773599 |
|---|---|
| Medicare Enrollment ID | O20071201000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033390588 | NPI | - | NPPES |
| 6000297 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2808 (North Carolina) | Primary |
| Provider Name | Jennifer K Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255314720 PECOS PAC ID: 3870682685 Enrollment ID: I20071201000185 |
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