Coleman, Wallace

Coleman, Wallace is an individual health care provider with primary practice located at 2403 Osler Court Suite B, Albany GA 31707. He 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 / Mental Health is his primary health care specialty. Coleman, Wallace can be contacted via phone (229) 639-3135.

Contact Information

Primary practice address
2403 Osler Court Suite B Albany GA 31707
Phone: (229) 639-3135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC010234 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC010234 Georgia

Profile Details

NPI number 1669941035
LBN Legal business name Coleman, Wallace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2018
Last updated Nov 21st, 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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