Individual
LAVERN L COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W RACE ST, ROLLING FORK, MS 39159-2623
(662) 873-6228
(662) 873-2244
Mailing address
2504 BROWNING ROAD 520, GREENWOOD, MS 38930-6022
(662) 451-6211
(662) 455-8724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMHT
MS
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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