Kezia E Coleman Psyd Llc

LBN: Kezia E Coleman Psyd Llc
Kezia E Coleman Psyd Llc is an health care organization with primary practice located at 7777 Bonhomme Ave Ste 1800 , Clayton MO 63105-1931. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Kezia E Coleman Psyd Llc can be contacted via phone (314) 472-3091, or through Jackson, Kezia via phone (314) 472-3091.

Contact Information

Primary practice address
7777 Bonhomme Ave Ste 1800 Clayton MO 63105-1931
Phone: (314) 472-3091
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kezia PSYD
Phone: (314) 472-3091

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1427673367
LBN Legal business name Kezia E Coleman Psyd Llc
DBA Doing business as Kezia E Coleman Psyd Llc
Authorized official Jackson, Kezia PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2020
Last updated Sep 21st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427673367 NPPES
Missouri MEDICAID 1346600061
Missouri MEDICAID 1790233153
Missouri MEDICAID 1992030027

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