Coleman, Robert Eugene

Coleman, Robert Eugene is an sole proprietor health care provider with primary practice located at 1158 Professional Dr Ste M , Williamsburg VA 23185-6618. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Coleman, Robert Eugene can be contacted via phone (757) 258-5700.

Contact Information

Primary practice address
1158 Professional Dr Ste M Williamsburg VA 23185-6618
Phone: (757) 258-5700
Fax: (757) 253-2884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000044 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701000627 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000178 Virginia

Profile Details

NPI number 1972591972
LBN Legal business name Coleman, Robert Eugene
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Aug 6th, 2019 - about 5 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 1972591972 NPPES
Virginia MEDICAID 5407800

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