Coleman, Teia Anqwanette
Coleman, Teia Anqwanette is an sole proprietor health care provider with primary practice located at 131 Morning Gap Pkwy , Fort Mill SC 29715-2542. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Coleman, Teia Anqwanette can be contacted via phone (704) 219-1180.Contact Information
Primary practice address
131 Morning Gap Pkwy
Fort Mill SC 29715-2542
Phone: (704) 219-1180
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 8081 | South Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 14280 | North Carolina |
Profile Details
| NPI number | 1740754761 |
|---|---|
| LBN Legal business name | Coleman, Teia Anqwanette |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2019 |
| Last updated | Jan 29th, 2026 - about 9 months 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 | 1740754761 | NPPES |
| North Carolina | MEDICAID | 14280 |
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