Coleman, Michele

Coleman, Michele is an individual health care provider with primary practice located at 1025 Hermosa Dr Se , Albuquerque NM 87108-4312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Coleman, Michele can be contacted via phone (505) 237-0061.

Contact Information

Primary practice address
1025 Hermosa Dr Se Albuquerque NM 87108-4312
Fax: (505) 237-0068
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0084851 New Mexico
Behavioral Health & Social Service Providers / Counseling 103TC1900X 0084851 New Mexico

Profile Details

NPI number 1104990845
LBN Legal business name Coleman, Michele
Credentials PHD, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jan 12th, 2017 - 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 1104990845 NPPES
New Mexico MEDICAID 86580507

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