Coleman, Peter Wadkin

Coleman, Peter Wadkin is an sole proprietor health care provider with primary practice located at 951 Eastgate Loop Ste 100 , Chattanooga TN 37411-5604. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Coleman, Peter Wadkin can be contacted via phone (423) 631-5923.

Contact Information

Primary practice address
951 Eastgate Loop Ste 100 Chattanooga TN 37411-5604
Phone: (423) 631-5923
Fax: (423) 296-6515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 982 Tennessee

Profile Details

NPI number 1215292461
LBN Legal business name Coleman, Peter Wadkin
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2012
Last updated Apr 26th, 2018 - about 8 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 1215292461 NPPES
Tennessee MEDICAID 3920247

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