| T. Earl Coleman, Phd | |
|
608 Burke Trl Thomasville NC 27360-2902 | |
| (336) 472-3500 | |
| Not Available |
| Full Name | T. Earl Coleman, Phd |
|---|---|
| Speciality | Counselor - Professional |
| Location | 608 Burke Trl, Thomasville, North Carolina |
| Authorized Official Name and Position | Thomas Earl Coleman (PRESIDENT & SOLE PRACTITIONER) |
| Authorized Official Contact | 3364723500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Earl Coleman, Phd 608 Burke Trl Thomasville NC 27360-2902 Ph: (336) 472-3500 | T. Earl Coleman, Phd 608 Burke Trl Thomasville NC 27360-2902 Ph: (336) 472-3500 |
| NPI Number | 1306892385 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 09/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306892385 | NPI | - | NPPES |
| SEE PROV.'S NPI INFO | Other | NC | MULTIPLE PROV. NOS. |
| 1912960683 | Other | NC | NPI |
| 6102026 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 101 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 635 (North Carolina) | Primary |
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