| Coleman Professional Services | |
|
320 High St Ne Warren OH 44481-1222 | |
| (330) 393-1175 | |
| (330) 394-5910 |
| Full Name | Coleman Professional Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 320 High St Ne, Warren, Ohio |
| Authorized Official Name and Position | Diana D. Keathley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3306766826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Professional Services 5982 Rhodes Rd Kent OH 44240-4128 Ph: (330) 673-1347 | Coleman Professional Services 320 High St Ne Warren OH 44481-1222 Ph: (330) 393-1175 |
| NPI Number | 1245307966 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245307966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0227 (Ohio) | Secondary |
| 251S00000X | Community/behavioral Health | 0227 (Ohio) | Primary |
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