| Stephanie Coleman, Mental Health Professional, Llc | |
|
4000 Faber Place Dr # 315 Charleston SC 29405-8585 | |
| (678) 850-4142 | |
| Not Available |
| Full Name | Stephanie Coleman, Mental Health Professional, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4000 Faber Place Dr # 315, Charleston, South Carolina |
| Authorized Official Name and Position | Stephanie Coleman (OWNER) |
| Authorized Official Contact | 6788504142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Coleman, Mental Health Professional, Llc 100 Dasharon Ln Goose Creek SC 29445-7298 Ph: (678) 850-4142 | Stephanie Coleman, Mental Health Professional, Llc 4000 Faber Place Dr # 315 Charleston SC 29405-8585 Ph: (678) 850-4142 |
| NPI Number | 1730995622 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 12/05/2024 |
| Certification Date | 12/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730995622 | NPI | - | NPPES |
| PC3002 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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