| Lora Coleman, Lcsw, Pa | |
|
10700 Caribbean Blvd Ste 203 Cutler Bay FL 33189-1224 | |
| (305) 298-6561 | |
| (305) 969-1293 |
| Full Name | Lora Coleman, Lcsw, Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10700 Caribbean Blvd Ste 203, Cutler Bay, Florida |
| Authorized Official Name and Position | Lora A Coleman (OWNER) |
| Authorized Official Contact | 3052986561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lora Coleman, Lcsw, Pa 20230 Sw 105th Ave Cutler Bay FL 33189-1313 Ph: (305) 298-6561 | Lora Coleman, Lcsw, Pa 10700 Caribbean Blvd Ste 203 Cutler Bay FL 33189-1224 Ph: (305) 298-6561 |
| NPI Number | 1609160191 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 01/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609160191 | NPI | - | NPPES |
| 000031800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW7978 (Florida) | Primary |
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