Organization
COASTAL FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE COLEMAN LCSW (OWNER/THERAPIST)
(912) 442-0558
Entity
Organization
Contact information
Practice address
150 BUTLER AVE STE D-3, MIDWAY MINI MALL, MIDWAY, GA 31320-4575
(912) 442-0558
Mailing address
191 OAK ISLAND DR, MIDWAY, GA 31320-6923
(912) 442-0558
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003091
GA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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