Organization
KENYA COLEMAN
Active
Other names
Black Pearl Therapeutic Agency
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA D COLEMAN LICSW (OWNER/OPERATOR)
(254) 216-1733
Entity
Organization
Contact information
Practice address
1050 CONNECTICUT AVE NW, 10TH FLOOR, WASHINGTON, DC 20036-5303
(202) 772-4162
Mailing address
1050 CONNECTICUT AVE NW, 10TH FLOOR, WASHINGTON, DC 20036-5303
(202) 772-4162
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LC50078237
DC
251K00000X
Public Health or Welfare Agency
LC50078237
DC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
07/01/2008
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