Coleman, Ebony Denise

Coleman, Ebony Denise is an sole proprietor health care provider with primary practice located at 255 N Forbes St , Lakeport CA 95453-4759. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Coleman, Ebony Denise can be contacted via phone (213) 949-0150.

Contact Information

Primary practice address
255 N Forbes St Lakeport CA 95453-4759
Phone: (213) 949-0150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Forensic 103TF0200X

Profile Details

NPI number 1932660347
LBN Legal business name Coleman, Ebony Denise
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2019
Last updated Mar 28th, 2019 - about 6 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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