KIMETTA ARNIECE COLEMAN - NPI 1114530540 - Counselor in Phoenix, AZ

The NPI number for Kimetta Coleman is 1114530540. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

The NPPES record for Kimetta Coleman was last updated on August 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimetta Arniece Coleman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMETTA ARNIECE COLEMAN (NPI 1114530540) is an individual pastoral provider in Phoenix, Arizona and active in the NPI registry since August 2020.

NPI1114530540

Entity TypeIndividualFemale

Primary Taxonomy101YP1600X

Provider Legal NameKIMETTA ARNIECE COLEMAN

Location Address2375 E CAMELBACK RD # 628Phoenix, AZ 85016-3424

Mailing AddressPo Box 20712Phoenix, AZ 85036-0712 · (602) 606-5742 · Fax (602) 801-2770

Fax(602) 801-2770

Sole ProprietorNo

Enumeration DateAugust 25, 2020

NPPES CertifiedAugust 25, 2020

✔ NPI 1114530540 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers

Taxonomy Code101YP1600X

2375 E CAMELBACK RD # 628, Phoenix, AZ 85016

Medicaid005311AZ

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

The NPI number for Kimetta Coleman is 1114530540. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Kimetta Coleman practices at 2375 E Camelback Rd # 628, Phoenix, AZ 85016. The listed phone number is (602) 606-5742.

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

The NPPES record for Kimetta Coleman was last updated on August 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.