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Contact Information

COLEMAN PROFESSIONAL SERVICES, INC.
400 TUSCARAWAS ST W
SUITE 200
CANTON, OH44702-2018
 Phone: 330-438-2400
 Fax: 330-438-3003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for COLEMAN PROFESSIONAL SERVICES, INC.

NPI # 1134296213
LBN Legal business name COLEMAN PROFESSIONAL SERVICES, INC.
Authorized official DIANA KEATHLEY - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2006
Last updated 01/05/2017 - About 9 years ago
Identifiers
OH License # 0227
OH License # 0277
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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