PHYLLIS COLEMAN LCADC
NPI 1811254220
Counselor - Addiction (Substance Use Disorder) in Prestonsburg, KY
Active since April 23, 2012
About Phyllis Coleman Lcadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYLLIS COLEMAN LCADC (NPI 1811254220) is an individual addiction (substance use disorder) provider in Prestonsburg, Kentucky, licensed in Kentucky (165749) and active in the NPI registry since April 2012.
NPPES Registry Identity
NPI1811254220
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHYLLIS COLEMANCredential: LCADC
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Sole ProprietorNo
Enumeration DateApril 23, 2012
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1811254220 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in KY · 165749
104 S FRONT AVE, Prestonsburg, KY 41653
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.
Counselor (Addiction (Substance Use Disorder))
104 S FRONT AVE
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
Counselor (Addiction (Substance Use Disorder))
104 S FRONT AVE
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811254220, enumerated as an "individual" on April 23, 2012.
The provider is located at 104 S FRONT AVE PRESTONSBURG, KY 41653 and the phone number is (606) 886-8572.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).