Coleman, Karissa Diane
Coleman, Karissa Diane is an sole proprietor health care provider with primary practice located at 6880 Cobblestone Blvd Ste 1 , Southaven MS 38672-9313. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Coleman, Karissa Diane can be contacted via phone (662) 253-8324.Contact Information
Primary practice address
6880 Cobblestone Blvd Ste 1
Southaven MS 38672-9313
Phone: (662) 253-8324
Fax: (662) 253-8336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1346596590 |
|---|---|
| LBN Legal business name | Coleman, Karissa Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2012 |
| Last updated | Jun 24th, 2023 - about 3 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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