| Coleman Professional Services, Inc. | |
|
5982 Rhodes Rd Kent OH 44240-4128 | |
| (330) 673-1347 | |
| (330) 678-3677 |
| Full Name | Coleman Professional Services, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5982 Rhodes Rd, Kent, Ohio |
| Authorized Official Name and Position | Diana D. Keathley (HR COORDINATOR) |
| Authorized Official Contact | 3306766875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Professional Services, Inc. 5982 Rhodes Rd Kent OH 44240-4128 Ph: (330) 673-1347 | Coleman Professional Services, Inc. 5982 Rhodes Rd Kent OH 44240-4128 Ph: (330) 673-1347 |
| NPI Number | 1346317427 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 05/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346317427 | NPI | - | NPPES |
| 3147768 | Other | OH | AOD MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0227 (Ohio) | Primary |
| 251S00000X | Community/behavioral Health | 0227 (Ohio) | Secondary |
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