Coleman, Christasia

Coleman, Christasia is an individual health care provider with primary practice located at 2126 N 1St St Ste F , Jacksonville AR 72076-2868. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Coleman, Christasia can be contacted via phone (501) 982-5000.

Contact Information

Primary practice address
2126 N 1St St Ste F Jacksonville AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P1302010 Arkansas

Profile Details

NPI number 1659569945
LBN Legal business name Coleman, Christasia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated May 9th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659569945 NPPES
Arkansas MEDICAID 172690795
Arkansas Other 5AJ58

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