Coleman, Brielle Amaris
Coleman, Brielle Amaris is an individual health care provider with primary practice located at 36 Ardmore Rd , West Hartford CT 06119-1201. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Coleman, Brielle Amaris can be contacted via phone (860) 759-4564.Contact Information
Primary practice address
36 Ardmore Rd
West Hartford CT 06119-1201
Phone: (860) 759-4564
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1821741166 |
|---|---|
| LBN Legal business name | Coleman, Brielle Amaris |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2022 |
| Last updated | Jan 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821741166 | NPPES |
| Connecticut | Other | SHP0971875865 | ANTHEM |
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