Coleman, Debra Taylor
Coleman, Debra Taylor is an individual health care provider with primary practice located at 1657 Merrimac Trl , Williamsburg VA 23185-5624. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coleman, Debra Taylor can be contacted via phone (757) 220-3200.Contact Information
Primary practice address
1657 Merrimac Trl
Williamsburg VA 23185-5624
Phone: (757) 220-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904000530 | Virginia |
Profile Details
| NPI number | 1629125547 |
|---|---|
| LBN Legal business name | Coleman, Debra Taylor |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Feb 29th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629125547 | NPPES |
| Virginia | Other | 228215000 | MAGELLAN |
| Virginia | Other | 394645 | MAGELLAN |
| Virginia | Other | 031838 | MAGELLAN |
| Virginia | Other | O84204 | MAGELLAN |
| Virginia | Other | 161741 | MAGELLAN |
| Virginia | MEDICAID | 00004945301 | MAGELLAN |
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