KEZIA E COLEMAN PSYD LLC
NPI 1427673367
Clinic/Center - Mental Health (Including Community Mental Health Center) in Clayton, MO

Active since June 16, 2020
7777 BONHOMME AVE STE 1800, CLAYTON, MO 63105(314) 472-3091 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Jun 16, 2020 (2 updates tracked since 2020).

About Kezia E Coleman Psyd Llc NPPES

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

KEZIA E COLEMAN PSYD LLC (NPI 1427673367) is a healthcare organization registered as a mental health (including community mental health center) in Clayton, Missouri and active in the NPI registry since June 2020. The organization lists Kezia Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1427673367
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKEZIA E COLEMAN PSYD LLC
Location Address7777 BONHOMME AVE STE 1800Clayton, MO 63105-1931
Mailing Address7711 Bonhomme Ave Ste 720Clayton, MO 63105-1908 · (314) 472-3091
Organization SubpartNo
Authorized OfficialKezia JacksonOwner · (314) 472-3091
Enumeration DateJune 16, 2020
Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2023
NPI 1427673367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
7777 BONHOMME AVE STE 1800, Clayton, MO 63105

Other Names 2

Former Legal Business NameKezia E Coleman Psyd Llc
Doing Business AsHealing Spaces Psychological Services Llc

Other Identifiers 3

Medicaid1346600061MO
Medicaid1790233153MO
Medicaid1992030027MO

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
7777 BONHOMME AVE STE 1800
CLAYTON, MO 63105
Behavior Technician
7777 BONHOMME AVE STE 1800
CLAYTON, MO 63105
Behavior Technician
7777 BONHOMME AVE STE 1800
CLAYTON, MO 63105
Counselor (Professional)
7777 BONHOMME AVE STE 1800
SAINT LOUIS, MO 63105
Behavior Technician
7777 BONHOMME AVE STE 1800
CLAYTON, MO 63105
Behavior Technician
7777 BONHOMME AVE STE 1800
CLAYTON, MO 63105
Behavior Technician
7777 BONHOMME AVE STE 1800
CLAYTON, MO 63105
Behavior Technician
7777 BONHOMME AVE STE 1800
CLAYTON, MO 63105

Frequently Asked Questions NPPES & CMS

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

What is Kezia E Coleman Psyd LLC's NPI number?

The NPI number for Kezia E Coleman Psyd LLC is 1427673367. It was assigned to this organization in the NPPES registry on June 16, 2020. The provider is doing business as Healing Spaces Psychological Services LLC.

Where is Kezia E Coleman Psyd LLC located?

Kezia E Coleman Psyd LLC is located at 7777 Bonhomme Ave Ste 1800, Clayton, MO 63105. The listed phone number is (314) 472-3091.

What is Kezia E Coleman Psyd LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Kezia E Coleman Psyd LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Kezia E Coleman Psyd LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kezia E Coleman Psyd LLC was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.