Organization
THE LEGACY FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTASIA COLEMAN LPC (THERAPIST)
(501) 590-5121
Entity
Organization
Contact information
Practice address
190 JAN DRIVE, SUITE #10, SHERWOOD, AR 72120
(501) 590-5121
Mailing address
POB 6454, SHERWOOD, AR 72124
(501) 590-5121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
P1302010
AR
171M00000X
Case Manager/Care Coordinator
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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